Organization · Type 2 NPI
City of Portland Maine
Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Portland, ME
NPI number
1437485117
Active
Practice location
103 India St
Portland, ME 04101-4211
Fax (207) 756-8087
Mailing address
389 Congress St, Room 307
Portland, ME 04101-3566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary | 207KI0005X | None listed |
Clinical & Laboratory Immunology (Allergy & Immunology) Physician: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..
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Other clinical & laboratory immunology (allergy & immunology) physician providers in Portland
About NPI 1437485117
City of Portland Maine's National Provider Identifier is 1437485117, issued on Oct 30, 2009. The primary taxonomy on file is Clinical & Laboratory Immunology (Allergy & Immunology) Physician (207KI0005X), and the practice location is in Portland, ME. The record was last updated on Oct 6, 2015.