Individual
JENNIFER WOODBURY BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 SEWALL STREET, PORTLAND, ME 04102
(207) 775-3526
Mailing address
50 SEWALL STREET, PORTLAND, ME 04102
(207) 775-3526
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
017459
ME
Other
Enumeration date
05/15/2007
Last updated
07/11/2007
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