OrganizationActive
Mainehealth
NPI 1679887400 · Gynecology Physician · South Portland, ME
Provider details
- NPI number
- 1679887400
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Maine Medical Center
- Organization subpart
- Yes
- Authorized official
- Lugene Inzana, Associate Cfo(207) 662-3538
- License
- 37563 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Hospitals
- Advanced Practice Midwife367A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Brickhill Ave
South Portland, ME 04106
Phone: (207) 775-1255
Fax: (207) 775-1299
Approximate (ZIP-level) locationGet directions
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Other names (DBA / former)
- Other name
- Maine Medical Partners Women'S Health Urogyn Division
- Other name
- Maine Medical Partners Women'S Health Urogyn Division
Registry dates
- Enumerated
- 2010-08-04
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.