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Contact Information

MAINEHEALTH
5 BUCKNAM RD
SUITE 1D
FALMOUTH, ME04105
 Phone: 207-781-1775
 Fax: 207-781-1780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

General Acute Care Hospital

282N00000X A0[7] Hospital-General
Indicates primary specialty

NPI Profile & details for MAINEHEALTH · (Female)

NPI # 1629382601
Status Active
Credentials
Entity Individual
Enumeration date 08/02/2010
Last updated 12/19/2022 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME License # 37563
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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