Individual
ABD ASSALAM QANNUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST RM 5219, PORTLAND, ME 04102-3134
(207) 662-7872
(207) 662-6306
Mailing address
22 BRAMHALL ST RM 5219, PORTLAND, ME 04102-3134
(207) 662-7872
(207) 662-6306
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
EC171095
ME
Other
Enumeration date
09/27/2017
Last updated
07/21/2022
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