Individual
JESSICA M ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 JOHN ROBERTS RD STE B8, SOUTH PORTLAND, ME 04106-6964
(207) 775-4151
(207) 775-6950
Mailing address
300 SOUTHBOROUGH DR, SUITE 201, SOUTH PORTLAND, ME 04106-6914
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD21199
ME
Other
Enumeration date
06/11/2009
Last updated
01/05/2017
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