Individual provider · NPI-1

Mary Anne Carroll, MD

Obstetrics & Gynecology · Portland, ME

NPI number1235162116
StatusActive
Last updated in NPPESJan 11, 2023

Details

NPI
1235162116
Entity type
Individual (NPI-1)
Name
Mary Anne Carroll
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2006
Certification date
Jan 10, 2023
Last updated
Jan 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & GynecologyMD26233MEYes
207V00000X Obstetrics & GynecologyI0769TX
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicinel0769TX
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine49410WI
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineMD45200TN
207VM0101X Obstetrics & Gynecology, Maternal & Fetal MedicineMD26233ME

Practice location

Maine Medical Center
22 Bramhall Street
Portland, ME 04102

Phone 207-662-0111

Mailing address

Maine Medical Center
22 Bramhall Street
Portland, ME 04102

Phone 207-662-0111

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