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NPI Profile for MAINE CENTER FOR CANCER MEDICINE BLOOD DISORDERS PA in WESTBROOK, ME.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Dietitian, Registered |
133V00000X | 71 | Registered Dietitian or Nutrition Professional | |
Hospice and Palliative Medicine |
207RH0002X | 11 | Physician/Internal Medicine | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology | |
Surgical Oncology |
2086X0206X | 02 | Physician/General Surgery |
| NPI Number | 1205896107 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/24/2006 | |
| Last updated | 04/25/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MAINE CENTER FOR CANCER MEDICINE & BLOOD DISORDERS, P.A.
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MAINE CENTER FOR CANCER MEDICINE & BLOOD DISORDERS, P.A.