Individual
MARC P JACQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PAVILLION 1203, PORTLAND, ME 04102-3134
(207) 662-4618
(207) 662-6254
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD14727
ME
208M00000X
Hospitalist Physician
Primary
MD14727
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268610099
—
ME
05
—
30205716
—
NH
Enumeration date
07/06/2006
Last updated
04/03/2025
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