Individual
RANDA JABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
46 FAIRVIEW AVE, SUITE 111, SKOWHEGAN, ME 04976-1481
(207) 474-0905
(207) 474-6930
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 858-8353
(207) 474-9261
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD19971
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972815167
—
ME
Enumeration date
07/05/2010
Last updated
08/11/2015
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