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Cecilia Trydestam, MD
Surgery Physician in Lewiston, Maine
NPI 1811121684

Cecilia Trydestam is a Surgery Physician based in Lewiston, ME. Cecilia Trydestam practices in Lewiston, ME and has the professional credentials of MD. The NPI Number for Cecilia Trydestam is 1811121684 and holds a License No. MD60458584 (Maine).

The current practice location address for Cecilia Trydestam is 93 Campus Ave I2 Wing, Lewiston, ME and can be reached out via phone at 207-777-8650 and via fax at 207-777-8641. You can also correspond with Cecilia Trydestam through the mailing address at C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT, LEWISTON, ME - 04243-7291 (mailing address contact number: 207-777-8950).

Location: 93 Campus Ave I2 Wing, Lewiston, ME, 04243-7291
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811121684
Provider Name
Cecilia Trydestam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
93 Campus Ave I2 Wing, Lewiston, ME, 04243-7291
Phone Number
207-777-8650
Fax Number
207-777-8641
Provider Enumeration Date
05/08/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01625698 01 WA RR MEDICARE WVH
1811121684 05 WA
institution
Provider Business Practice Location Address Details
Address
93 Campus Ave I2 Wing
City
Lewiston
State
Maine
Zip
04240
Phone Number
207-777-8650
Fax Number
207-777-8641
person
Provider Business Mailing Address Details
Address
93 Campus Ave I2 Wing
City
Lewiston
State
Maine
Zip
04240
Phone Number
207-777-8650
Fax Number
207-777-8641
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
(Maine)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD60458584 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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