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NPI Verification

National Provider Identifier: 1710297494

Mainehealth

Organization

Primary Specialty

Urology

Code: 208800000X

All Specialties (4)

General Acute Care Hospital

Code: 282N00000X

Physician Assistant

Code: 363A00000X

Nurse Practitioner, Family

Code: 363LF0000X

Urology

Code: 208800000X

Primary

Practice Address

100 BRICKHILL AVE

SOUTH PORTLAND, ME 04106

Phone: 207-773-1728

NPI Enumeration Date

October 15, 2010

NPI Number

1710297494

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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