Active NPIIndividual provider

Candice M Dersch, MD

Obstetrics & Gynecology in Portland, Maine

NPI Number1437358157
Practice location
887 Congress St, Suite 200, Portland, ME 04102-3166
Fax
207-771-7834
Last updated
August 3, 2012

Candice M Dersch is an Obstetrics & Gynecology based in Portland, ME. Candice M Dersch practices in Portland, ME and has the professional credentials of MD. The NPI Number for Candice M Dersch is 1437358157 and holds a License No. MD18808 (ME). The current practice location address for Candice M Dersch is 887 Congress St, Suite 200, Portland, ME 04102-3166 and can be reached out via phone at 207-771-5549 and via fax at 207-771-7834.

Provider Profile Details

NPI Number
1437358157
Provider Name
Candice M Dersch
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
887 Congress St, Suite 200, Portland, ME 04102-3166
Phone Number
207-771-5549
Fax Number
207-771-7834
Primary Taxonomy
Obstetrics & Gynecology · 207V00000X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2007
Last Update Date
August 3, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
887 Congress St
Suite 200
Portland, ME 04102-3166
State
Maine
Zip
04102-3166
Phone Number
207-771-5549
Fax Number
207-771-7834
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
301 US Route 1
Building C
Scarborough, ME 04074-9701
City
Scarborough
State
ME
Zip
04074-9701
Phone Number
207-396-8600
Fax Number
207-396-8632

License Information

License Number
MD18808
License State
ME
Taxonomy
Obstetrics & Gynecology · 207V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Candice M Dersch, MD?

The NPI number of Candice M Dersch, MD is 1437358157. It was assigned on July 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Candice M Dersch, MD?

Candice M Dersch, MD is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in ME under license number MD18808.

Where does Candice M Dersch, MD practice?

The practice location is 887 Congress St, Suite 200, Portland, ME 04102-3166. The office can be reached at 207-771-5549 (phone) or 207-771-7834 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437358157 directly on the NPPES registry website.

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