Provider Demographics
NPI:1891016689
Name:ANN TRAYNOR, MD, PA
Entity Type:Organization
Organization Name:ANN TRAYNOR, MD, PA
Other - Org Name:HEMATOLOGY ONCOLOGY OF WATERVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:TRAYNOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-660-5121
Mailing Address - Street 1:325 KENNEDY MEMORIAL DR
Mailing Address - Street 2:BUILDING D
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-4517
Mailing Address - Country:US
Mailing Address - Phone:207-660-5121
Mailing Address - Fax:
Practice Address - Street 1:325 KENNEDY MEMORIAL DR
Practice Address - Street 2:BUILDING D
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-4517
Practice Address - Country:US
Practice Address - Phone:207-660-5121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty