Individual
DR. ANGELA L BRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
295 FOREST AVE, 2R, PORTLAND, ME 04101-2018
(207) 772-5437
(207) 879-1537
Mailing address
PO BOX 2500, LEWISTON, ME 04243-2500
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2172
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710173133
—
ME
01
—
AA221173
HPHC
ME
Enumeration date
09/19/2007
Last updated
11/04/2011
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