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NPI Code Detail

MEDICARE: DR. SHARMILA DAS-WATTLEY DPM

MEDICARE:  DR. SHARMILA  DAS-WATTLEY  DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPOD1076ME

General Provider Information

NPI Number : 1164420907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHARMILA DAS-WATTLEY DPM
Provider Business Mailing Address
First Line : PO BOX 912
Second Line :
City : WILTON
State : ME
Zip : 04294-0912
Country : US
Telephone Number : 609-922-3653
Fax Number : 888-519-5127
Provider Business Practice Location Address
First Line : 115 MT BLUE CIR
Second Line :
City : FARMINGTON
State : ME
Zip : 04938-6239
Country : US
Telephone Number : 207-860-2817
Fax Number : 888-519-5127
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 10/11/2013

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Directions to “ DR. SHARMILA DAS-WATTLEY DPM” Practice Location

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