Individual
CANDICE M DERSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
887 CONGRESS ST, SUITE 200, PORTLAND, ME 04102-3166
(207) 771-5549
(207) 771-7834
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD18808
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32000563
—
NH
Enumeration date
07/12/2007
Last updated
08/03/2012
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