NPI Profile for MAINEHEALTH in SCARBOROUGH, ME.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Clinical Cardiac Electrophysiology |
207RC0001X | 11 | Physician/Internal Medicine | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
General Acute Care Hospital |
282N00000X | A0[7] | Hospital-General |
| NPI Number | 1881987675 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/26/2011 | |
| Last updated | 12/19/2022 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MAINEHEALTH
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