Individual
DANIEL CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE ST, SUITE 121, BANGOR, ME 04401-6630
(207) 973-7000
(207) 973-5151
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-4266
(207) 973-5151
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
10648
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283790099
—
ME
Enumeration date
06/03/2006
Last updated
12/05/2017
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