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Individual

DANA L GOLDSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 TELCOM DR, BANGOR, ME 04401-3072
(207) 947-0147
(207) 990-3365
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
(207) 975-0435

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD12271
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003997
BLUE CROSS
ME
05
117910000
ME
Enumeration date
03/27/2007
Last updated
12/13/2022
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