Healthcare Provider Details

I. General information

NPI: 1033792171
Provider Name (Legal Business Name): MAINE CENTER FOR CANCER MEDICINE & BLOOD DISORDERS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2021
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 BORTHWICK AVE STE C
PORTSMOUTH NH
03801-7156
US

IV. Provider business mailing address

PO BOX 911
BRATTLEBORO VT
05302-0911
US

V. Phone/Fax

Practice location:
  • Phone: 603-828-0100
  • Fax: 603-828-0111
Mailing address:
  • Phone: 207-303-3200
  • Fax: 207-250-2140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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