Marta Aglaee Quijano, MD | |
195 Fore River Pkwy, Suite 250, Portland, ME 04102-2780 | |
(207) 553-6800 | |
(207) 553-6810 |
Full Name | Marta Aglaee Quijano |
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Gender | Female |
Speciality | Surgery |
Location | 195 Fore River Pkwy, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1386755643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 017538 (Maine) | Primary |
Entity Name | Middlesex Surgical Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073720769 PECOS PAC ID: 7214957539 Enrollment ID: O20051201000639 |
Entity Name | Vohra Post Acute Care Physicians Of The Northeast Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275969131 PECOS PAC ID: 9335378066 Enrollment ID: O20140227000775 |
Mailing Address | Practice Location Address |
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Marta Aglaee Quijano, MD 144 State St, 4th Floor, Portland, ME 04101-3776 Ph: (207) 553-6800 | Marta Aglaee Quijano, MD 195 Fore River Pkwy, Suite 250, Portland, ME 04102-2780 Ph: (207) 553-6800 |
Virginia A Eddy, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 887 Congress St., Portland, ME 04102 Phone: 207-774-2311 | |
Leslie S Wu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Suite 400, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Benjamin Lincoln Russell, DO Surgery Medicare: Medicare Enrolled Practice Location: 195 Fore River Pkwy, Suite 420, Portland, ME 04102 Phone: 207-553-6500 Fax: 207-553-6520 | |
Dr. Forest Raymond Sheppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-6368 Fax: 207-774-9388 | |
Dr. Stacey Anne Rotta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St, Portland, ME 04102 Phone: 207-774-6368 | |
Dr. Laura Teresa Withers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 887 Congress St Ste 210, Portland, ME 04102 Phone: 207-774-2381 | |
Ms. Daly Anne Johnson, PA-C Surgery Medicare: Medicare Enrolled Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 |