Provider Demographics
NPI:1528030814
Name:MAINE CENTER OF CANCER MEDICINE & BLOOD DISORDERS
Entity Type:Organization
Organization Name:MAINE CENTER OF CANCER MEDICINE & BLOOD DISORDERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTELLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-303-3300
Mailing Address - Street 1:100 CAMPUS DR UNIT 108
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7172
Mailing Address - Country:US
Mailing Address - Phone:207-303-3300
Mailing Address - Fax:207-250-2139
Practice Address - Street 1:100 CAMPUS DR UNIT 108
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7172
Practice Address - Country:US
Practice Address - Phone:207-303-3300
Practice Address - Fax:207-250-2139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-02
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
102355Medicare ID - Type Unspecified