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Contact Information

MARY C BRANDES, MD
100 BRICKHILL AVE
SOUTH PORTLAND, ME04106-1999
 Phone: 207-761-1502
 Fax: 207-774-2015
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
 

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARY C BRANDES · (Female)

NPI Number 1013908037
Status Active
Credentials MD
Entity Individual
Enumeration date 10/31/2005
Last updated 10/25/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD12242
  • ME Medicaid 324350099
  • NH Medicaid 30003368
  • ME Other 1040667 AETNA
  • ME Other 000767 ANTHEM
  • ME Other M9420 CIGNA
  • ME Other 160028955 GBA PALMETTO/RR MEDICARE
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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