Jaime L Petrus is a Pediatrics in So Portland, Maine. Jaime L Petrus practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jaime L Petrus is 1891881447. The last update date is 2009-02-23.
Jaime L Petrus's current location address is 39 Wallace Ave, So Portland, Maine. You can contact this provider via phone number 2077610650 and fax number 2077618198. The mailing address for Jaime L Petrus is 39 Wallace Ave, So Portland, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jaime L Petrus |
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Address | 39 Wallace Ave, So Portland, Maine |
Phone Number | 2077610650 |
Fax Number | 2077618198 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1891881447 |
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Provider Enumeration Date | 2006-10-04 |
Last Updated Date | 2009-02-23 |
Provider Mailing Address Detail
Address | 39 Wallace Ave |
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City | So Portland |
State | Maine (ME) |
Post Code | 4106 |
Phone Number | 2077610650 |
Fax Number | 2077618198 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | 17196 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
30206869 | NH | -- | |
432616699 | ME | -- |
Post Comment/ Review Below
What is the Jaime L Petrus's unique identification number?
The Jaime L Petrus has been assigned the NPI (National Provider Identifier) Number 1891881447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jaime L Petrus is physically located?
The Jaime L Petrus is situated at the following address: 39 Wallace Ave, So Portland, ME 4106.
What is the Jaime L Petrus's area of specialization and corresponding taxonomy classification?
The Jaime L Petrus's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1891881447 to Jaime L Petrus?
The Centers for Medicare & Medicaid Services assigned the 1891881447 to Jaime L Petrus on 2006-10-04.
As of what date was the information pertaining to Jaime L Petrus, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jaime L Petrus, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-02-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY