Basic Information
Provider Information
NPI: 1811011927
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARANYA
FirstName: GRETCHEN
MiddleName: F
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PARANYA
OtherFirstName: GRETCHEN
OtherMiddleName: FORBES
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 1 MEDICAL CENTER DR
Address2:  
City: BIDDEFORD
State: ME
PostalCode: 040059422
CountryCode: US
TelephoneNumber: 2072829080
FaxNumber: 2072827350
Practice Location
Address1: 9 HEALTHCARE DR
Address2: SUITE 101
City: BIDDEFORD
State: ME
PostalCode: 040059449
CountryCode: US
TelephoneNumber: 2072824270
FaxNumber: 2072827350
Other Information
ProviderEnumerationDate: 03/16/2007
LastUpdateDate: 04/01/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD19701MEY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

ID Information
IDTypeStateIssuerDescription
181101192705ME MEDICAID
AA31275701MEHARVARDOTHER
181101192701MEANTHEMOTHER
827784801MECIGNAOTHER
909236101MEAETNAOTHER


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