DANIEL MARK MERSON

PORTLAND, ME
NPI1003096017
Entity TypeOrganization
Authorized ContactDANIEL MARK MERSON
Owner
207-878-5042
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: ME  ME1373)
Enumeration Date2007-11-07
Last Update Date2008-10-16
Business Address
DANIEL MARK MERSON
1250 FOREST AVE
PORTLAND, ME 04103-1889
Phone number: 207-878-5042
Mailing Address
DANIEL MARK MERSON
1250 FOREST AVE
PORTLAND, ME 04103-1889
Phone number: 207-878-5042