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Contact Information

MAINE CARDIOLOGY ASSOCIATES
119 GANNETT DR
SOUTH PORTLAND, ME04106-6942
 Phone: 207-774-2642
 Fax: 207-774-4293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAINE CARDIOLOGY ASSOCIATES · (Female)

NPI # 1114202561
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2011
Last updated 10/18/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME Medicaid 10765000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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