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CITY OF PORTLAND MAINE NPI 1437485117


NPI Information

NPI: 1437485117
Provider Name: CITY OF PORTLAND MAINE
Classification: Allergy & Immunology - 207KI0005X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

Address:
103 INDIA ST
PORTLAND, ME
ZIP 04101
Phone: (207) 874-8446
Get Directions

CITY OF PORTLAND MAINE is a clinical and laboratory immunology allergy immunology in Portland, ME. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. CITY OF PORTLAND MAINE NPI is 1437485117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 INDIA ST
PORTLAND, ME
ZIP 04101-211
Phone: (207) 874-8446
Fax: (207) 756-8087

The provider's authorized official is Jon P. Jennings .
The authorized official title is City Manager and has the following contact phone number (207) 874-8944.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 10/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MM5065MEDICARE PINMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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