Individual
JESSICA C ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
175 US ROUTE ONE, SCARBOROUGH, ME 04074
(207) 885-7700
(207) 885-7701
Mailing address
190 RIVERSIDE ST, SUITE 6B, PORTLAND, ME 04103-1073
(207) 661-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
188147
NY
207R00000X
Internal Medicine Physician
MD18694
ME
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
15811
NH
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
188147
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD18694
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01283389
—
NY
Enumeration date
04/21/2006
Last updated
04/25/2017
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