Organization
SPECTRUM HEALTHCARE PARTNERS, PA
Active
Parent organization
SPECTRUM HEALTHCARE PARTNERS, PA
Other names
Spectrum Radiology South, Spectrum Medical Group, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTHCARE PARTNERS, PA
Authorized official
DANIEL MCCORMACK (CEO)
(207) 482-7800
Entity
Organization
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2571
Mailing address
PO BOX 95000 LB#7810, PHILADELPHIA, PA 19195-0001
(844) 947-4259
(302) 261-8368
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669488011
—
ME
Enumeration date
07/31/2006
Last updated
05/14/2026
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