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Individual

JULIE A CEKLENIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
84 MARGINAL WAY, SUITE 700, PORTLAND, ME 04101-2443
(207) 774-5816
(207) 523-8597
Mailing address
100 FODEN RD, WEST, SUITE 203, SOUTH PORTLAND, ME 04106-2327
(207) 828-0361
(207) 874-1483

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
016037
ME
208M00000X
Hospitalist Physician
016037
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
294430099
ME
05
30203402
NH
Enumeration date
07/07/2006
Last updated
11/24/2010
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