- Practice location
- 93 Campus Ave I2 Wing, Lewiston, ME 04240
- Phone
- 207-777-8650
- 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 - City
- Lewiston
- State
- Maine
- Zip
- 04240
- Phone Number
- 207-777-8650
- Fax Number
- 207-777-8641
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
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Lewiston, ME
View all Surgery providers in Lewiston →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.