Individual
DR. JACK P MANN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S COMMERCIAL ST, SUITE 300, PORTLAND, ME 04101-4613
(207) 828-5272
(207) 761-0265
Mailing address
22 S COMMERCIAL ST, SUITE 300, PORTLAND, ME 04101-4613
(207) 828-5272
(207) 761-0265
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
009803
ME
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
009803
ME
Other
Enumeration date
12/04/2006
Last updated
09/11/2025
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