Individual
VICTORIA P DALZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1577 CONGRESS ST, 2ND FLOOR, PORTLAND, ME 04102-2133
(207) 662-5522
(207) 662-5527
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
016143
ME
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
016143
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271110099
—
ME
Enumeration date
10/03/2006
Last updated
02/22/2011
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