Individual
JASON P MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106-2415
(207) 661-0200
(888) 368-4071
Mailing address
265 WESTERN AVE STE 2, SOUTH PORTLAND, ME 04106-2415
(207) 661-0200
(888) 368-4071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-247653
MA
207R00000X
Internal Medicine Physician
MD22909
ME
207RH0003X
Hematology & Oncology Physician
Primary
MD22909
ME
Other
Enumeration date
06/07/2011
Last updated
07/01/2019
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