Provider Demographics
NPI:1518131168
Name:MAEGAWA, RODRIGO OTAVIO BOFF (MD)
Entity type:Individual
Prefix:DR
First Name:RODRIGO
Middle Name:OTAVIO BOFF
Last Name:MAEGAWA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:43 WHITING HILL ROAD
Mailing Address - Street 2:EASTERN MAINE MEDICAL CENTER
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-1004
Mailing Address - Country:US
Mailing Address - Phone:207-973-4783
Mailing Address - Fax:
Practice Address - Street 1:33 WHITING HILL ROAD
Practice Address - Street 2:EASTERN MAINE MEDICAL CENTER
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-1004
Practice Address - Country:US
Practice Address - Phone:207-973-7478
Practice Address - Fax:207-973-7807
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-15
Last Update Date:2025-05-01
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Provider Licenses
StateLicense IDTaxonomies
CO#NOT RECEIVED YET207RH0003X
MEMD19329207RH0003X
GA103800207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology