NPI 1780941997 · live from the CMS NPI Registry
Jessica Maglione, MD
Dermatology in South Portland, ME. National Provider Identifier 1780941997, active.
NPI record
| NPI | 1780941997 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 100 Foden Rd., West, Suite 203, South Portland, ME 04106 |
| Practice phone | 207-523-3900 |
| Mailing address | 100 Gannett Dr Ste C, South Portland, ME 04106 |
| Enumerated | April 12, 2012 |
| Last updated | September 30, 2025 |
| Sole proprietor | No |
| Other names | Jessica Kwock |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Dermatopathology | 207ND0900X | MD21791 (ME) |
| Dermatology primary | 207N00000X | MD21791 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.