Individual
JESSICA FARACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
329 MAINE ST STE A200, BRUNSWICK, ME 04011-3310
(207) 373-4700
(207) 729-0950
Mailing address
272 CONGRESS ST, PORTLAND, ME 04101-3637
(207) 874-2466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
042-0014254
VT
207Q00000X
Family Medicine Physician
Primary
MD24440
ME
Other
Enumeration date
03/21/2015
Last updated
12/08/2021
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