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Individual

DR. CYNTHIA A. DESOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
710 MAIN ST, LEWISTON, ME 04240-5801
(207) 783-1449
(207) 777-3865
Mailing address
710 MAIN ST, LEWISTON, ME 04240-5801
(207) 783-1449
(207) 777-3865

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
013060
ME
207RN0300X
Nephrology Physician
Primary
013060
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010349848
ANTHEM
ME
05
294650099
ME
01
M20488
CIGNA
ME
Enumeration date
05/26/2006
Last updated
02/26/2013
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