NPI 1063790392
Mojabeng Phoofolo, MD
Practice location
- Address
- 22 Bramhall St, Portland, ME 04102-3175
- Phone
- (336) 407-2998
- Mailing address
- 22 Bramhall St, Portland, ME 04102-3134
Registered specialties
Hospitalist Physician
Primary
Registry record
- NPI
- 1063790392
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 3 Aug 2011
- Record last updated
- 30 Jun 2024
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.