Individual
SHANTANU N RAZDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
193 MAIN ST STE 16, NORWAY, ME 04268-5647
(207) 743-2544
(207) 743-5863
Mailing address
506 LENOX AVE, MLK 11-101, NEW YORK, NY 10037-1802
(212) 939-1641
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD23026
ME
Other
Enumeration date
06/22/2012
Last updated
06/13/2019
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