Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
Maine Medical Partners Pediatrics
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (SVP FINANCE/CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
5 BUCKNAM RD, SUITE 1D, FALMOUTH, ME 04105
(207) 781-1775
(207) 781-1780
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
282N00000X
General Acute Care Hospital
37563
ME
Other
Enumeration date
08/02/2010
Last updated
12/19/2022
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