Organization
MAINEHEALTH
Active
Other names
Mid Coast Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
LUGENE INZANA (CFO & MH ASSOCIATE CFO)
(207) 662-2654
Entity
Organization
Contact information
Practice address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 729-0181
Mailing address
123 MEDICAL CENTER DR, BRUNSWICK, ME 04011-2652
(207) 729-0181
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2020
Last updated
12/19/2022
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