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Derrick S Tooth, MD
Urology Physician in Manchester, Maine
NPI 1639260847

Derrick S Tooth is a Urology Physician based in Oakland, ME. Derrick S Tooth practices in Manchester, ME and has the professional credentials of MD. The NPI Number for Derrick S Tooth is 1639260847 and holds a License No. 014663 (Maine).

The current practice location address for Derrick S Tooth is 1053 Western Ave, Manchester, ME and can be reached out via phone at 207-622-6319 and via fax at 207-622-6654.

Location: 1053 Western Ave, Manchester, ME, 04963
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639260847
Provider Name
Derrick S Tooth
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1053 Western Ave, Manchester, ME, 04963
Phone Number
207-622-6319
Fax Number
207-622-6654
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
255890099 05 ME
030440 01 ME ANTHEM
1041053 01 AETNA
institution
Provider Business Practice Location Address Details
Address
1053 Western Ave
City
Manchester
State
Maine
Zip
04351-3403
Phone Number
207-622-6319
Fax Number
207-622-6654
person
Provider Business Mailing Address Details
Address
1053 Western Ave
City
Manchester
State
Maine
Zip
04351-3403
Phone Number
207-622-6319
Fax Number
207-622-6654
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
014663 (Maine)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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