| NPI | 1477850592 |
|---|---|
| Doing Business As | MAINE MEDICAL PARTNERS PEDIATRIC SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA Associate CFO 207-662-3538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 133V00000X Dietitian, Registered | |
| 170300000X Genetic Counselor, MS | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| 282N00000X General Acute Care Hospital (Licence: ME 37563) | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2022-12-19 |