Individual
RAMI WAKED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 815-0625
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 815-0625
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
EC201040
ME
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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