Individual
ABBAS AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 BRIGHTON AVE, PORTLAND, ME 04102
(207) 450-5359
Mailing address
640 BRIGHTON AVE, PORTLAND, ME 04102-1047
(207) 450-5359
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
1717
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1717
—
ME
Enumeration date
09/27/2018
Last updated
09/27/2018
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