Doctor Name: | MARY C BRANDES |
NPI Number: | 1013908037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | MD12242 |
Business Practice Address: | 100 Brickhill Ave South Portland, ME - 041061999 |
Business Phone Number: | 2077611502 |
Business Fax Number: | 2077742015 |
Mailing Address: | 301 Us Route 1, Building C SCARBOROUGH |
State: | ME |
Postal Code: | 040747609 |
Phone Number: | 2073968600 |
Fax Number: | 2073968632 |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 10/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MD12242 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |