OrganizationActive
Mainehealth
NPI 1912204033 · Pediatric Hematology & Oncology Physician · Scarborough, ME
Provider details
- NPI number
- 1912204033
- Entity type
- Organization
- Primary specialty
- Pediatric Hematology & Oncology 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
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Campus Dr
Unit 107
Scarborough, ME 04074
Phone: (207) 885-7565
Fax: (207) 885-7577
Approximate (ZIP-level) locationGet directions
Mailing address
22 Bramhall St
Portland, ME 04102-3134
Other names (DBA / former)
- Doing business as
- Maine Children'S Cancer Program
- Doing business as
- Maine Children'S Cancer Program
Registry dates
- Enumerated
- 2011-02-25
- 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.