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Mainehealth

Psychiatry & Neurology, Neurology in Scarborough, ME. Organization (NPI-2).

NPI number1497052518
StatusActive
Last updated in NPPESDec 19, 2022

Details

NPI
1497052518
Entity type
Organization (NPI-2)
Legal business name
Mainehealth
Organization subpart
Yes
Enumeration date
Feb 25, 2011
Certification date
Dec 19, 2022
Last updated
Dec 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology––
2084N0600X ––
2084P2900X Psychiatry & Neurology, Pain Medicine––
2084V0102X Psychiatry & Neurology, Vascular Neurology––
2471M1202X Radiologic Technologist, Magnetic Resonance Imaging––
282N00000X General Acute Care Hospital37563ME
363LA2200X Nurse Practitioner, Adult Health––
363LF0000X Nurse Practitioner, Family––
363LP0200X Nurse Practitioner, Pediatrics––

Other names

  • Maine Medical Partners Neurology (Doing Business As)

Practice location

49 Spring St
2nd Floor
Scarborough, ME 04074

Phone 207-883-1414 · Fax 207-883-1010

Mailing address

22 Bramhall St
Portland, ME 04102-3134

Phone 207-662-6562

Authorized official

Lugene Anthony Inzana
Asscoaite Cfo
2076623538

Is something wrong?

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