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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAINEHEALTH

Active Organization

Urology · SOUTH PORTLAND, ME

Registration Details

NPI Number
1710297494
Provider Type
Organization
NPI Issued
Oct 15, 2010 (15.535718747942 yrs)
Last Updated
Dec 19, 2022
License
37563 (ME)

Practice Information

Address
100 BRICKHILL AVE
SOUTH PORTLAND, ME, 04106
Browse ME providers · Browse ZIP 04106
Phone
2077731728
Fax
2077724062
Primary Specialty
Urology
208800000X
Additional Specialty
Physician Assistant
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Urology

Other Urology Organizations in SOUTH PORTLAND, ME

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.