Individual
DR. JESSICA NOELLE EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
25A JUNE ST STE 111, SANFORD, ME 04073
(207) 490-7998
Mailing address
25A JUNE ST STE 111, SANFORD, ME 04073-2642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2856
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006214
—
OR
05
—
1092221
—
WA
Enumeration date
10/09/2006
Last updated
08/13/2019
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