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NPI Verification

National Provider Identifier: 1073177325

Ali I Jardaneh, MD

Individual Provider

Credentials

MD

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Urology

Code: 208800000X

Primary

Practice Address

442 CIVIC CENTER DR

AUGUSTA, ME 043308572

Phone: 207-622-6319

NPI Enumeration Date

April 23, 2019

NPI Number

1073177325

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Ali Jardaneh, MD - NPI 1073177325 | Provider Verification | HormoneMap