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MAINEHEALTH

Organization (NPI-2) Active

Internal Medicine, Nephrology

Provider Information

NPI Number
1780788372
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
19 WEST ST, PORTLAND, ME, 04102
Phone
(207) 662-7180
Fax
(207) 662-7190

Specialties & Taxonomies

Internal Medicine
Clinic/Center
Nurse Practitioner, Adult Health
Internal Medicine, Nephrology Primary

All Addresses

LOCATION

19 WEST ST

PORTLAND, ME, 04102

(207) 662-7180

MAILING

301 US ROUTE 1 BUILDING C

SCARBOROUGH, ME, 040747609

(207) 396-8600