Organization
DANIEL MARK MERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL MARK MERSON D.O. (OWNER)
(207) 878-5042
Entity
Organization
Contact information
Practice address
1250 FOREST AVE, PORTLAND, ME 04103-1889
(207) 878-5042
(207) 878-5043
Mailing address
1250 FOREST AVE, PORTLAND, ME 04103-1889
(207) 878-5042
(207) 878-5043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME1373
ME
Other
Enumeration date
11/07/2007
Last updated
10/16/2008
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