Organization
MAINE MEDICAL PARTNERS
Active
Other names
Maine Medical Partners Otolaryngology
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA JAUREGUI (DIR-PRVDR ENROLLMENT & CVO, MHMG PA)
(207) 661-5414
Entity
Organization
Contact information
Practice address
92 CAMPUS DRIVE, 3RD FLOOR, SCARBOROUGH, ME 04074
(207) 797-5753
(207) 797-9571
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
(207) 661-2033
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
08/02/2010
Last updated
12/13/2022
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