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Contact Information

STACEY A ROTTA, MD
887 CONGRESS ST
PORTLAND, ME04102-3100
 Phone: 207-774-6368
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STACEY A ROTTA · (Female)

NPI Number 1093077703
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2012
Last updated 03/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A156409
  • ME License # MD23505
Hospital affiliation(s)
  • MAINE MEDICAL CENTER - (Acute Care)
    22 BRAMHALL ST
    PORTLAND, ME 04102
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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