| NPI | 1780981803 |
|---|---|
| Doing Business As | MAINE MEDICAL PARTNERS PEDIATRIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | LUGENE ANTHONY INZANA Associate CFO 207-662-3538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: ME 37563) |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2022-12-19 |