Organization · Type 2 NPI

Mainehealth

Nephrology Physician · Portland, ME

NPI number 1780788372 Active

Practice location

19 West St
Portland, ME 04102

Call (207) 662-7180 Map

Fax (207) 662-7190

Mailing address

301 US Route 1, Building C
Scarborough, ME 04074-7609

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Nephrology Physician Primary	207RN0300X	None listed
Clinic/Center	261Q00000X	None listed
Adult Health Nurse Practitioner	363LA2200X	None listed

Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2 other providers at this address

Other nephrology physician providers in Portland

Maine Nephrology Associates P.a.Nephrology Physician Portland, ME NPI 1043424344

See all in Portland →

NPI record

NPI: 1780788372
Entity type: Organization (Type 2)
Issued: Sep 12, 2006
Last updated: Dec 19, 2022
Status: Active

Other names

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Maine Transplant Program · doing business as
Maine Transplant Program · doing business as

Authorized official

Lugene Anthony Inzana
SVP Finance/cfo
(207) 662-3538

Verify this record

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 1780788372

Mainehealth's National Provider Identifier is 1780788372, issued on Sep 12, 2006. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Portland, ME. The record was last updated on Dec 19, 2022.