Mainehealth Valid NPI
Organization · Pediatric Critical Care Medicine Physician · Portland, ME
- NPI
- 1265536817
- Type
- Organization (Type 2)
- Primary specialty
- Pediatric Critical Care Medicine Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2080P0203X
- Enumerated
- 2006-09-12
- Last updated
- 2020-05-11
Practice location
22 Bramhall St
Portland, ME 04102
(207) 662-2179