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NPI Profile for MAINEHEALTH in SCARBOROUGH, ME.
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatric Hematology-Oncology |
2080P0207X | 37 | Physician/Pediatric Medicine | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
General Acute Care Hospital |
282N00000X | A0[7] | Hospital-General |
| NPI # | 1912204033 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/25/2011 | |
| Last updated | 12/19/2022 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MAINEHEALTH
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MAINEHEALTH