NPI 1437485117

City of Portland Maine

Organisation Clinical & Laboratory Immunology (Allergy & Immunology) Physician Portland, ME

Practice location

Address: 103 India St, Portland, ME 04101-4211
Phone: (207) 874-8446
Fax: (207) 756-8087
Mailing address: 389 Congress St Room 307, Portland, ME 04101-3566

Authorised official

Name: Jon P. Jennings
Title: City Manager
Phone: (207) 874-8944

Registered specialties

Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207KI0005X

Other Allergy & Immunology providers in Maine →

Registry record

NPI: 1437485117
Entity type: Organization
NPI issued: 30 Oct 2009
Record last updated: 6 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.