Organization · Type 2 NPI
Mainehealth
Gynecology Physician · South Portland, ME
NPI number
1679887400
Active
Practice location
100 Brickhill Ave
South Portland, ME 04106
Fax (207) 775-1299
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | None listed |
| General Acute Care Hospital | 282N00000X | 37563 (ME) |
| Advanced Practice Midwife | 367A00000X | None listed |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
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About NPI 1679887400
Mainehealth's National Provider Identifier is 1679887400, issued on Aug 4, 2010. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in South Portland, ME. The record was last updated on Dec 19, 2022.