MAINEHEALTH
Organization (NPI-2)
Active
Internal Medicine, Gastroenterology
Provider Information
- NPI Number
1477850592- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 887 CONGRESS ST SUITE 320, PORTLAND, ME, 04102
- Phone
- (207) 662-5522
- Fax
- (207) 662-5526
Specialties & Taxonomies
Social Worker, Clinical
Dietitian, Registered
Genetic Counselor, MS
Medical Genetics, Clinical Genetics (M.D.)
Pediatrics, Developmental - Behavioral Pediatrics
Pediatrics, Pediatric Endocrinology
Pediatrics, Pediatric Infectious Diseases
Pediatrics, Pediatric Nephrology
Pediatrics, Pediatric Pulmonology
General Acute Care Hospital
License: ME #37563
Nurse Practitioner, Family
Nurse Practitioner, Pediatrics
Internal Medicine, Gastroenterology
Primary