Organization
CITY OF PORTLAND MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK H REES (CITY MANAGER)
(207) 874-8944
Entity
Organization
Contact information
Practice address
20 PORTLAND ST, PORTLAND, ME 04101-2912
(207) 874-8445
Mailing address
389 CONGRESS ST, ROOM 307, PORTLAND, ME 04101-3566
(207) 874-8784
(207) 874-8913
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136041100
—
ME
Enumeration date
12/01/2009
Last updated
03/26/2013
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