Individual
DR. ROBERT DAMIAN SANSONETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 US ROUTE 1, SCARBOROUGH, ME 04074-7203
(207) 883-5444
(207) 883-5165
Mailing address
144 US ROUTE 1, SCARBOROUGH, ME 04074-7203
(207) 883-5444
(207) 883-5165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
013210
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013210
LICENSE
ME
05
—
124180000
—
ME
Enumeration date
07/31/2006
Last updated
02/10/2010
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