Jennifer Klotz Jubulis
Pediatrician Pediatric Infectious Diseases
887 Congress St Suite 320
Portland
, Maine 04102
Jennifer Klotz Jubulis
Pediatrician Pediatric Infectious Diseases
887 Congress St Suite 320
Portland
, Maine 04102
(207) 396-8632
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Jennifer Klotz Jubulis
- 301c Us Route One
- Scarborough, ME
- Zip : 04074
- Fax : (207) 396-8632
- Phone : (207) 396-8600
Second Address
- Jennifer Klotz Jubulis
- 887 Congress St Suite 320
- Portland, ME
- Zip : 04102
- Fax : (207) 662-5527
- Phone : (207) 662-5522
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | D0068961 | MD |
| N | 208000000X | Pediatrician | MD19415 | ME |
| Y | 2080P0208X | Pediatric Infectious Diseases | MD19415 | ME |
National Provider Identifier
| NPI | 1457489742 |
|---|---|
| Provider Name | Jennifer Klotz Jubulis |
| First Address | Scarborough, ME 04074 |
| Second Address | Portland, ME 04102 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/03/2007 |
| Last Update Date | 08/10/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 332504100 | (05) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.