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INNOCENT ADRIEN NDZANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2179
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2179

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO3029
ME
208M00000X
Hospitalist Physician
Primary
DO3029
ME

Other

Enumeration date
05/03/2015
Last updated
07/20/2020
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