Organization · Type 2 NPI

Mainehealth

Hematology (Internal Medicine) Physician · Scarborough, ME

NPI number 1659475036 Active

Practice location

81 Research Dr
Scarborough, ME 04074

Call (207) 885-8130 Map

Fax (207) 885-8110

Mailing address

39 Wallace Ave
South Portland, ME 04106-6143

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Hematology (Internal Medicine) Physician Primary	207RH0000X	None listed

Hematology (Internal Medicine) Physician: An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

2 other providers at this address

NPI record

NPI: 1659475036
Entity type: Organization (Type 2)
Issued: Sep 7, 2006
Last updated: May 11, 2020
Status: Active

Other names

<unavail>
Kenneth Ault MD · doing business as
Kenneth Ault MD · doing business as

Authorized official

Lugene Anthony Inzana
Chief Financial Officer
(207) 662-3538

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659475036

Mainehealth's National Provider Identifier is 1659475036, issued on Sep 7, 2006. The primary taxonomy on file is Hematology (Internal Medicine) Physician (207RH0000X), and the practice location is in Scarborough, ME. The record was last updated on May 11, 2020.