Organization · Type 2 NPI

Mainehealth

Reproductive Endocrinology Physician · Portland, ME

NPI number 1942514542 Active

Practice location

887 Congress St, Suite 200
Portland, ME 04102

Call (207) 771-5549 Map

Fax (207) 771-7834

Mailing address

22 Bramhall St
Portland, ME 04102-3134

Specialties and licenses

Taxonomy	Code	License
Reproductive Endocrinology Physician Primary	207VE0102X	None listed
General Acute Care Hospital	282N00000X	37563 (ME)

Reproductive Endocrinology Physician: An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.

107 other providers at this address

NPI record

NPI: 1942514542
Entity type: Organization (Type 2)
Issued: Aug 6, 2010
Last updated: Dec 19, 2022
Status: Active
Subpart: Yes of Maine Medical Center

Other names

<unavail>
Maine Medical Partners Women's Health Rei Division · other name
Maine Medical Partners Women's Health Rei 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 1942514542

Mainehealth's National Provider Identifier is 1942514542, issued on Aug 6, 2010. The primary taxonomy on file is Reproductive Endocrinology Physician (207VE0102X), and the practice location is in Portland, ME. The record was last updated on Dec 19, 2022.