Individual
DANIELLE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 482-7800
(207) 482-7898
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD26960
ME
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
D91549
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962933101
—
ME
Enumeration date
03/21/2017
Last updated
06/22/2023
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