Individual
DANIEL G KLODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2571
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
DO2247
ME
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DO2247
ME
Other
Enumeration date
11/11/2006
Last updated
11/04/2015
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