Individual
JULIA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2749
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2749
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0420010441
VT
207V00000X
Obstetrics & Gynecology Physician
Primary
MD19778
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009000
—
VT
Enumeration date
05/19/2006
Last updated
12/02/2024
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