Organization
OA ASC LLC
Active
Parent organization
GROWTH ORTHOPEDICS SERVICES MSO
Organization subpart
Yes
Provider details
NPI number
Legal business name
GROWTH ORTHOPEDICS SERVICES MSO
Authorized official
KATHRYN H HANNA MD (VICE PRESIDENT)
(207) 828-2101
Entity
Organization
Contact information
Practice address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2101
(207) 553-7166
Mailing address
33 SEWALL ST, PORTLAND, ME 04102-2603
(207) 828-2101
(207) 553-7166
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
02/13/2025
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