Organization · Type 2 NPI

City of Portland Maine

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

NPI number 1861720906 Active

Practice location

20 Portland St
Portland, ME 04101-2912

Mailing address

389 Congress St, Room 307
Portland, ME 04101-3566

Specialties and licenses

TaxonomyCodeLicense
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary 207KI0005XNone listed

Clinical & Laboratory Immunology (Allergy & Immunology) Physician: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..

16 other providers at this address

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About NPI 1861720906

City of Portland Maine's National Provider Identifier is 1861720906, issued on Dec 1, 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 Mar 26, 2013.