Individual
ELIZABETH S.M. DESJARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CAMPUS DR UNIT 121, SCARBOROUGH, ME 04074-7172
(207) 396-7760
(207) 396-8500
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD21127
ME
2086X0206X
Surgical Oncology Physician
036140306
IL
Other
Enumeration date
06/23/2011
Last updated
09/18/2017
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