Jack P Mann in Portland - Developmental - Behavioral Pediatrics

Jack P Mann - NPI 1295893386

Jack P Mann is a Developmental - Behavioral Pediatrics in Portland, Maine. Jack P Mann practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Jack P Mann is 1295893386. The last update date is 2007-07-08.

Jack P Mann's current location address is 22 S Commercial St, Portland, Maine. You can contact this provider via phone number 2078285272 and fax number 2077610265. The mailing address for Jack P Mann is 22 S Commercial St, Portland, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack P Mann
Address 22 S Commercial St, Portland, Maine
Phone Number 2078285272
Fax Number 2077610265
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1295893386
Provider Enumeration Date 2006-12-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 22 S Commercial St
City Portland
State Maine (ME)
Post Code 41014613
Phone Number 2078285272
Fax Number 2077610265

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No 9803
Definition:
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort

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FAQs about Jack P Mann

What is the unique identifier code issued to Jack P Mann by the Centers for Medicare & Medicaid Services (CMS)?

The Jack P Mann has been assigned the NPI (National Provider Identifier) 1295893386. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Jack P Mann is geographically located?

The Jack P Mann is physically situated at the following location: 22 S Commercial St, Portland, ME, 41014613.

What is Jack P Mann's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jack P Mann is Developmental - Behavioral Pediatrics, and the taxonomy code that classifies this field of practice is 2080P0006X.

On what date did the Jack P Mann receive the assignment of its 1295893386 from the Centers for Medicare & Medicaid Services?

The Jack P Mann was issued its 1295893386 by the Centers for Medicare & Medicaid Services on 2006-12-04.

As of what date was the information regarding Jack P Mann, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jack P Mann, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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