Jennifer M Dubail MD

NPI 1083782932 - Pediatrics - 208000000X

NPI Details
NPI 1083782932
Gender Female
Enumeration Date 11/30/2006
Last Updated 11/26/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1577 CONGRESS ST
2ND FLOOR
PORTLAND ME, 04102-2169, US
Phone (207) 662-1442
Fax (207) 775-2467
Business Location
301 US ROUTE 1
BUILDING C
SCARBOROUGH ME, 04074-7609, US
Phone (207) 396-8600
Fax (207) 396-8632
Toxanomy
Taxonomy Code 208000000X
License State Maine
License Number EC-05-090
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According to our database, Dr. Jennifer M Dubail MD NPI is 1083782932, taxonomy code is 208000000X and license number is EC-05-090, license state is located at Maine. Jennifer M Dubail MD physically located at 1577 Congress St, Portland ME, 04102-2169. NPI Number Jennifer M Dubail MD has the Individual type.

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1083782932 NPI number is provided on an as is basis without warranty of any kind. 1083782932 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer M Dubail MD are for informational purposes only.