OrganizationActive
Mainehealth
NPI 1265536817 · Pediatric Critical Care Medicine Physician · Portland, ME
Provider details
- NPI number
- 1265536817
- Entity type
- Organization
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lugene Inzana, Associate Cfo(207) 662-3538
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Practice location
22 Bramhall St
Portland, ME 04102
Phone: (207) 662-2179
Fax: (207) 662-6326
Approximate (ZIP-level) locationGet directions
Mailing address
301 US Route 1
Scarborough, ME 04074-7609
Other names (DBA / former)
- Doing business as
- Mmc Pediatric Intensive Care Unit
- Doing business as
- Mmc Pediatric Intensive Care Unit
Registry dates
- Enumerated
- 2006-09-12
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.