Active NPIIndividual provider

Jennifer K Jubulis, MD

Pediatrics, Pediatric Infectious Diseases in Portland, Maine

NPI Number1457489742
Practice location
887 Congress St, Suite 320, Portland, ME 04102
Fax
207-662-5527
Last updated
October 8, 2012

Jennifer Klotz Jubulis is a Pediatrics, Pediatric Infectious Diseases based in Portland, ME. Jennifer Klotz Jubulis practices in Portland, ME and has the professional credentials of MD. The NPI Number for Jennifer Klotz Jubulis is 1457489742 and holds a License No. D0068961 (MD). The current practice location address for Jennifer Klotz Jubulis is 887 Congress St, Suite 320, Portland, ME 04102 and can be reached out via phone at 207-662-5522 and via fax at 207-662-5527.

Provider Profile Details

NPI Number
1457489742
Provider Name
Jennifer Klotz Jubulis
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
887 Congress St, Suite 320, Portland, ME 04102
Phone Number
207-662-5522
Fax Number
207-662-5527
Primary Taxonomy
Pediatrics, Pediatric Infectious Diseases · 2080P0208X
Sole Proprietor
No
Other Names
-- Jennifer Klotz, MD (Former Name)
Provider Enumeration Date
March 1, 2007
Last Update Date
October 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
887 Congress St
Suite 320
Portland, ME 04102
State
Maine
Zip
04102
Phone Number
207-662-5522
Fax Number
207-662-5527
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
301C US Route One
Scarborough, ME 04074
City
Scarborough
State
ME
Zip
04074
Phone Number
207-396-8600
Fax Number
207-396-8632

License Information

License Number (1)
D0068961
License State (1)
MD
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
MD19415
License State (2)
ME
Taxonomy (2)
Pediatrics · 208000000X
License Number (3)
MD19415
License State (3)
ME
Taxonomy (3)
Pediatrics, Pediatric Infectious Diseases · 2080P0208X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer K Jubulis, MD?

The NPI number of Jennifer K Jubulis, MD is 1457489742. It was assigned on March 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Jennifer K Jubulis, MD?

Jennifer K Jubulis, MD is registered under the primary taxonomy Pediatrics, Pediatric Infectious Diseases (code 2080P0208X), licensed in MD under license number D0068961.

Where does Jennifer K Jubulis, MD practice?

The practice location is 887 Congress St, Suite 320, Portland, ME 04102. The office can be reached at 207-662-5522 (phone) or 207-662-5527 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457489742 directly on the NPPES registry website.

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