Wellformed AI

NPI 1881908879 · live from the CMS NPI Registry

Maine Medical Partners

Otolaryngology in Scarborough, ME. National Provider Identifier 1881908879, active.

NPI record

NPI1881908879 Type 2 · organization
StatusActive
Primary specialtyOtolaryngology 207Y00000X
Practice location92 Campus Drive, 3rd Floor, Scarborough, ME 04074
Practice phone207-797-5753
Mailing address300 Southborough Dr, Suite 201, South Portland, ME 04106
EnumeratedAugust 2, 2010
Last updatedDecember 13, 2022
Authorized officialDonna Jauregui, Dir-Prvdr Enrollment & Cvo, Mhmg PA
Other namesMaine Medical Partners Otolaryngology

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist231H00000X—
Otolaryngology, Plastic Surgery within the Head & Neck207YX0007X—
Otolaryngology primary207Y00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.