Organization
MAINEHEALTH
Active
Parent organization
MAINE MEDICAL CENTER
Other names
Maine Medical Partners Women's Health UROGYN Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINE MEDICAL CENTER
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
100 BRICKHILL AVE, SOUTH PORTLAND, ME 04106
(207) 775-1255
(207) 775-1299
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6562
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
282N00000X
General Acute Care Hospital
37563
ME
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
08/04/2010
Last updated
12/19/2022
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