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Individual

DR. JONATHAN PRESCOTT WATLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
(207) 661-4630
Mailing address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
(207) 661-4630

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD21556
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306138243
NC
05
NC2680
SC
Enumeration date
05/11/2011
Last updated
05/21/2025
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