Organization · Type 2 NPI

Mainehealth

Gynecologic Oncology Physician · Scarborough, ME

NPI number 1851605455 Active

Practice location

102 Campus Dr
Scarborough, ME 04074

Call (207) 883-0069 Map

Fax (207) 883-0999

Mailing address

22 Bramhall St
Portland, ME 04102-3134

Specialties and licenses

Taxonomy	Code	License
Gynecologic Oncology Physician Primary	207VX0201X	None listed
General Acute Care Hospital	282N00000X	37563 (ME)
Family Nurse Practitioner	363LF0000X	None listed

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

3 other providers at this address

NPI record

NPI: 1851605455
Entity type: Organization (Type 2)
Issued: Aug 6, 2010
Last updated: Dec 19, 2022
Status: Active
Subpart: Yes of Mainehealth

Other names

<unavail>
Maine Medical Partners Women's Health Gyn Oncology Division · other name
Maine Medical Partners Women's Health Gyn Oncology Division · other name

Authorized official

Lugene Anthony Inzana
Associate CFO
(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 1851605455

Mainehealth's National Provider Identifier is 1851605455, issued on Aug 6, 2010. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Scarborough, ME. The record was last updated on Dec 19, 2022.