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MAINEHEALTH NPI 1699076133


NPI Information

NPI: 1699076133
Provider Name: MAINEHEALTH

Doing Business As: MMC DIABETES CONSULT SERVICE

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-2651
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MAINEHEALTH is an endocrinology and diabetes and metabolism internal medicine in Portland, ME. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MAINEHEALTH NPI is 1699076133. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mmc Diabetes Consult Service.

The provider's business location address is:

22 BRAMHALL ST
PORTLAND, ME
ZIP 04102
Phone: (207) 662-2651

The provider's authorized official is Lugene Anthony Inzana .
The authorized official title is Associate Cfo and has the following contact phone number (207) 662-3538.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 5/11/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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