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MAINEHEALTH NPI 1841596517


NPI Information

NPI: 1841596517
Provider Name: MAINEHEALTH

Doing Business As: MMC CANCER RISK & PREVENTION - ADULT ONCOLOGY

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
100 CAMPUS DR
SUITE 110
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 396-7678
Get Directions

MAINEHEALTH is a hematology and oncology internal medicine in Scarborough, ME. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. MAINEHEALTH NPI is 1841596517. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mmc Cancer Risk & Prevention - Adult Oncology.

The provider's business location address is:

100 CAMPUS DR
SUITE 110
SCARBOROUGH, ME
ZIP 04074
Phone: (207) 396-7678
Fax: (207) 396-8766

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 1/28/2011 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
1207RH0003XInternal MedicineHematology & OncologyYes

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: 11/14/2023

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