MAINEHEALTH

PORTLAND, ME
NPI1649577768
Doing Business AsMAINE MEDICAL PARTNERS OTOLARYNGOLOGY
Entity TypeOrganization
Authorized ContactLUGENE ANTHONY INZANA
Associate CFO
207-662-3538
Organization Subpart ?Yes
Primary Taxonomy207Y00000X Otolaryngology
Additional Taxonomies231H00000X Audiologist
282N00000X General Acute Care Hospital
(Licence: ME  37563)
363AM0700X Physician Assistant, Medical
Enumeration Date2011-02-25
Last Update Date2022-12-19
Business Address
MAINEHEALTH
1250 FOREST AVE
PORTLAND, ME 04103
Phone number: 207-797-5753
Mailing Address
MAINEHEALTH
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-6562