Individual
DR. MOJABENG PHOOFOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(336) 407-2998
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-7068
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
166875
OR
Other
Enumeration date
08/03/2011
Last updated
06/30/2024
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