Healthcare Provider Details

I. General information

NPI: 1902971294
Provider Name (Legal Business Name): DANIEL J BRITTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 12/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 NORTHPORT AVE
BELFAST ME
04915-6009
US

IV. Provider business mailing address

175 CONGRESS ST
BELFAST ME
04915-6142
US

V. Phone/Fax

Practice location:
  • Phone: 207-505-4123
  • Fax:
Mailing address:
  • Phone: 207-632-4853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD18310
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: