Organization · Type 2 NPI

Mainehealth

Pediatric Hematology & Oncology Physician · Scarborough, ME

NPI number 1912204033 Active

Practice location

100 Campus Dr, Unit 107
Scarborough, ME 04074

Call (207) 885-7565 Map

Fax (207) 885-7577

Mailing address

22 Bramhall St
Portland, ME 04102-3134

Specialties and licenses

Taxonomy	Code	License
Pediatric Hematology & Oncology Physician Primary	2080P0207X	None listed
General Acute Care Hospital	282N00000X	37563 (ME)
Family Nurse Practitioner	363LF0000X	None listed

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

26 other providers at this address

Other pediatric hematology & oncology physician providers in Scarborough

Maine Medical PartnersPediatric Hematology & Oncology Physician Scarborough, ME NPI 1073527388

See all in Scarborough →

NPI record

NPI: 1912204033
Entity type: Organization (Type 2)
Issued: Feb 25, 2011
Last updated: Dec 19, 2022
Status: Active
Subpart: Yes of Maine Medical Center

Other names

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Maine Children's Cancer Program · doing business as
Maine Children's Cancer Program · doing business as

Authorized official

Lugene Anthony Inzana
Associate 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 1912204033

Mainehealth's National Provider Identifier is 1912204033, issued on Feb 25, 2011. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Scarborough, ME. The record was last updated on Dec 19, 2022.