Individual
DR. DANFORTH S DESENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
68 MARGINAL WAY, 4TH FLOOR, PORTLAND, ME 04101-2444
(207) 879-1339
(207) 879-1092
Mailing address
68 MARGINAL WAY, 4TH FLOOR, PORTLAND, ME 04101-2444
(207) 879-1339
(207) 879-1092
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
POD170
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114830099
—
ME
Enumeration date
02/22/2006
Last updated
01/11/2011
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