Active NPIIndividual provider

Cecilia K Trydestam, MD

Surgery in Lewiston, Maine

NPI Number1811121684
Practice location
93 Campus Ave I2 Wing, Lewiston, ME 04240
Fax
207-777-8641
Last updated
March 24, 2025

Cecilia K Trydestam is a Surgery based in Lewiston, ME. Cecilia K Trydestam practices in Lewiston, ME and has the professional credentials of MD. The NPI Number for Cecilia K Trydestam is 1811121684 and holds a License No. MD60458584 (WA). The current practice location address for Cecilia K Trydestam is 93 Campus Ave I2 Wing, Lewiston, ME 04240 and can be reached out via phone at 207-777-8650 and via fax at 207-777-8641.

Provider Profile Details

NPI Number
1811121684
Provider Name
Cecilia K Trydestam
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
93 Campus Ave I2 Wing, Lewiston, ME 04240
Phone Number
207-777-8650
Fax Number
207-777-8641
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
May 8, 2009
Last Update Date
March 24, 2025
Certification Date
March 24, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
93 Campus Ave I2 Wing
Lewiston, ME 04240
State
Maine
Zip
04240
Phone Number
207-777-8650
Fax Number
207-777-8641
Lewiston, ME 04240Get directions →

Provider Business Mailing Address Details

Address
770 Roosevelt Trail
Ste 8 #1015
N Windham, ME 04062
City
N Windham
State
ME
Zip
04062
Phone Number
207-717-9550

License Information

License Number (1)
MD60458584
License State (1)
WA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
MD24297
License State (2)
ME
Taxonomy (2)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cecilia K Trydestam, MD?

The NPI number of Cecilia K Trydestam, MD is 1811121684. It was assigned on May 8, 2009 and is currently active in the NPPES registry.

What is the specialty of Cecilia K Trydestam, MD?

Cecilia K Trydestam, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in WA under license number MD60458584.

Where does Cecilia K Trydestam, MD practice?

The practice location is 93 Campus Ave I2 Wing, Lewiston, ME 04240. The office can be reached at 207-777-8650 (phone) or 207-777-8641 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811121684 directly on the NPPES registry website.

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