Organization
MAINEHEALTH
Active
Parent organization
MAINEHEALTH
Other names
Maine Medical Partners Women's Health GYN Oncology Division
Organization subpart
Yes
Provider details
NPI number
Legal business name
MAINEHEALTH
Authorized official
LUGENE ANTHONY INZANA (ASSOCIATE CFO)
(207) 662-3538
Entity
Organization
Contact information
Practice address
102 CAMPUS DR, SCARBOROUGH, ME 04074
(207) 883-0069
(207) 883-0999
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-6562
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
282N00000X
General Acute Care Hospital
37563
ME
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/06/2010
Last updated
12/19/2022
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