Individual
DR. DANIEL ANTHONY REIDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(803) 803-7538
Mailing address
735 STEVENS AVE, PORTLAND, ME 04103-2624
(803) 394-7916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
058309
GA
2085R0202X
Diagnostic Radiology Physician
1011
SC
2085R0202X
Diagnostic Radiology Physician
Primary
DO2667
ME
2085R0202X
Diagnostic Radiology Physician
OP00001889
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010115
—
SC
Enumeration date
09/06/2006
Last updated
08/09/2022
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