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Organization
CITY OF PORTLAND MAINE
Active
Organization
CITY OF PORTLAND MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON P. JENNINGS (CITY MANAGER)
(207) 874-8944
Entity
Organization
Contact information
Practice address
103 INDIA ST, PORTLAND, ME 04101-4211
(207) 874-8446
(207) 756-8087
Mailing address
389 CONGRESS ST, ROOM 307, PORTLAND, ME 04101-3566
(207) 874-8784
(207) 874-8913
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
NULL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Enumeration date
10/30/2009
Last updated
10/06/2015
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