Healthcare Provider Details

I. General information

NPI: 1164490645
Provider Name (Legal Business Name): MAINE CENTER FOR CANCER MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 ROCK ROW STE 120
WESTBROOK ME
04092-4877
US

IV. Provider business mailing address

11 ROCK ROW STE 120
WESTBROOK ME
04092-4877
US

V. Phone/Fax

Practice location:
  • Phone: 207-303-3300
  • Fax: 207-250-2139
Mailing address:
  • Phone: 207-303-3300
  • Fax: 207-250-2139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPR3300
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberPH50000987
License Number StateME

VIII. Authorized Official

Name: CHIARA BATTELLI
Title or Position: PRESIDENT
Credential: MD
Phone: 207-303-3300