Organization
IBIS HEALTH SERVICES-MAINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY JANKO (AUTHORIZED USER)
(603) 921-4947
Entity
Organization
Contact information
Practice address
40 SAINT LAWRENCE ST, PORTLAND, ME 04101-4316
(207) 558-9800
Mailing address
215 AYER RD UNIT 797, HARVARD, MA 01451-5033
(978) 635-9090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
08/21/2023
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