Individual
MARIA G IKOSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
99 CAMPUS AVE STE 401, LEWISTON, ME 04240
(207) 777-8650
(207) 777-8641
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8950
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD12822
ME
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
C52151
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD12822
ME
Other
Enumeration date
10/27/2006
Last updated
02/14/2020
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