Dr. Jacob Robert Longfellow, DO - Portland, ME

Dr. Jacob Robert Longfellow, DO

Student in an Organized Health Care Education/Training Program in Portland, Maine

NPI 1851978233

Jacob Robert Longfellow is a Student in an Organized Health Care Education/Training Program based in Portland, ME. Jacob Robert Longfellow practices in Portland, ME and has the professional credentials of DO. The NPI Number for Jacob Robert Longfellow is 1851978233 and holds a License No. (Maine).

The current practice location address for Jacob Robert Longfellow is 22 Bramhall St, Portland, ME and can be reached out via phone at 207-662-0111.

Location: 22 Bramhall St, Portland, ME, 04102-3134

NPI Number

1851978233

Provider Name

Jacob Robert Longfellow

Credential

Provider Entity Type

Individual

Gender

Male

Address

22 Bramhall St, Portland, ME, 04102-3134

Phone Number

207-662-0111

Fax Number

Provider Enumeration Date

03/24/2021

Last Update Date

03/10/2024

Address

22 Bramhall St

City

Portland

State

Maine

Zip

04102-3134

Phone Number

207-662-0111

Fax Number

Address

22 Bramhall St

City

Portland

State

Maine

Zip

04102-3134

Phone Number

207-662-0111

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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