Individual
BEN JACOB GUIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2221
(207) 810-2367
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
(207) 810-2367
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD27731
ME
Other
Enumeration date
03/25/2020
Last updated
07/18/2024
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