Individual
MALUAL M MABUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
1 MEDICAL CENTER DR, BIDDEFORD, ME 04005-9422
(207) 312-7870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1719
ME
Other
Enumeration date
07/31/2017
Last updated
12/15/2022
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