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NPI Code Detail

MEDICARE: MAINEGENERAL HEALTH ASSOCIATES

MEDICARE: MAINEGENERAL HEALTH ASSOCIATES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2207RX0202XMedical Oncology PhysicianME
3207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1679539167
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAINEGENERAL HEALTH ASSOCIATES
Provider Business Mailing Address
First Line : 150 DRESDEN AVE
Second Line :
City : GARDINER
State : ME
Zip : 04345-2615
Country : US
Telephone Number : 207-621-9337
Fax Number : 207-621-3609
Provider Business Practice Location Address
First Line : 361 OLD BELGRADE RD
Second Line : ALFOND CANCER CENTER
City : AUGUSTA
State : ME
Zip : 04330-8058
Country : US
Telephone Number : 207-621-6100
Fax Number : 207-621-6102
Authorized Official
Title or Position : PRESIDENT, MGHA
Name : BARBARA A CROWLEY
Credential : MD
Telephone Number : 207-626-1063
Provider Enumeration Date : 04/24/2006
Last Update Date : 01/29/2008

Similar Medicare Providers

1194267450 — JILLIAN SAVAGE NP
Practice Location Address:
361 OLD BELGRADE RD
AUGUSTA, ME
04330-8058
Practice Phone: 207-621-6100
Practice Fax: 207-621-6102
1821073594 — ABBY R THROWER MD PH.D.
Practice Location Address:
361 OLD BELGRADE RD
AUGUSTA, ME
04330-8058
Practice Phone: 207-621-6100
Practice Fax: 207-621-6102
1144296609 — ANDREW A HERTLER MD
Practice Location Address:
361 OLD BELGRADE RD , ALFOND CANCER CENTER
AUGUSTA, ME
04330-8058
Practice Phone: 207-621-6100
Practice Fax: 207-621-6102
1851367429 — DONALD G MAGIONCALDA MD
Practice Location Address:
361 OLD BELGRADE RD , ALFOND CANCER CENTER
AUGUSTA, ME
04330-8058
Practice Phone: 207-621-6100
Practice Fax: 207-621-6102
1376519827 — ELENA LAMPROS NAWFEL MD
Practice Location Address:
361 OLD BELGRADE RD , ALFOND CANCER CENTER
AUGUSTA, ME
04330-8058
Practice Phone: 207-621-6100
Practice Fax: 207-621-6102
1770531386 — MR. GLENN ANDREW HEALEY MD
Practice Location Address:
361 OLD BELGRADE RD
AUGUSTA, ME
04330-8058
Practice Phone: 207-621-9400
Practice Fax: 207-621-9402

Directions to “MAINEGENERAL HEALTH ASSOCIATES ” Practice Location

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