Healthcare Provider Details

I. General information

NPI: 1598798332
Provider Name (Legal Business Name): WILLIAM S DANFORD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 OLD ROLLINSFORD RD BUILDING B
DOVER NH
03820-2827
US

IV. Provider business mailing address

789 CENTRAL AVE
DOVER NH
03820-2526
US

V. Phone/Fax

Practice location:
  • Phone: 603-516-4265
  • Fax: 603-740-2173
Mailing address:
  • Phone: 603-516-4265
  • Fax: 603-740-2173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number7643
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD12345
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: