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Individual
MARC B DANIELS
Active
Individual
MARC B DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013833
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010543747
COMMERCIAL
ME
01
—
042733
BLUE SHIELD
ME
01
—
180043171
RR MEDICARE
ME
01
—
2590268
AETNA
ME
05
—
291100099
—
ME
01
—
4693439003
CIGNA
ME
Enumeration date
06/30/2005
Last updated
01/16/2008
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