Individual
DR. ALI I JARDANEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
442 CIVIC CENTER DR, AUGUSTA, ME 04330-8572
(207) 622-6319
(207) 622-6654
Mailing address
442 CIVIC CENTER DR, AUGUSTA, ME 04330-8572
(207) 622-6319
(207) 622-6654
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD28166
ME
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2019
Last updated
09/05/2024
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