Individual
DANIELLE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
193 MAIN ST, SUITE 9, NORWAY, ME 04268-5645
(207) 743-8766
(207) 743-1579
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
015390
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314710099
—
ME
Enumeration date
03/27/2007
Last updated
12/01/2014
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