Individual
MARC B DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 AIRPORT RD, STE 1, WATERVILLE, ME 04901-4501
(207) 873-6048
(207) 877-9513
Mailing address
40 AIRPORT RD, STE 1, WATERVILLE, ME 04901-4501
(207) 873-6048
(207) 877-9513
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013833
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010543747
COMMERCIAL
ME
01
—
042733
BLUE SHIELD
ME
01
—
180043171
RR MEDICARE
ME
01
—
2590268
AETNA
ME
05
—
291100099
—
ME
01
—
4693439003
CIGNA
ME
Enumeration date
06/30/2005
Last updated
01/16/2008
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