Individual
MISS JANIE DAO NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO2788
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14707268535
—
ME
Enumeration date
05/23/2014
Last updated
07/05/2018
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