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Search › Maine › 363A00000X

Gordon Hazen, PA

NPI 1689600298 · on the registry since 2006

Practice

Address
22 Bramhall St
Portland, ME 04102
Phone
(207) 662-0111
Organisation at this address
Mainehealth
Mainehealth
Mainehealth
Mainehealth
Mainehealth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,712

Additional practice sites

  • 71 Prospect Ave, Hudson, NY

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
ME, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine