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Search › Maine › 208800000X

Derrick Tooth, MD

NPI 1639260847 · on the registry since 2006

Practice

Address
1053 Western Ave
Manchester, ME 04351
Phone
(207) 622-6319
Fax
(207) 622-6654
Organisation at this address
Northern New England Diagnostics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
208800000X
208800000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-12-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine