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MAINEHEALTH

Organization (NPI-2) Active

Pediatrics, Pediatric Hematology-Oncology

Provider Information

NPI Number
1912204033
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
100 CAMPUS DR UNIT 107, SCARBOROUGH, ME, 04074
Phone
(207) 885-7565
Fax
(207) 885-7577

Specialties & Taxonomies

General Acute Care Hospital License: ME #37563
Nurse Practitioner, Family
Pediatrics, Pediatric Hematology-Oncology Primary

All Addresses

LOCATION

100 CAMPUS DR UNIT 107

SCARBOROUGH, ME, 04074

(207) 885-7565

MAILING

22 BRAMHALL ST

PORTLAND, ME, 041023134

(207) 662-6562