Provider Demographics
NPI:1346731098
Name:DARDENO, MARIE (DO)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:DARDENO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 CLEARWATER DR
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1398
Mailing Address - Country:US
Mailing Address - Phone:207-781-7900
Mailing Address - Fax:207-781-2900
Practice Address - Street 1:98 CLEARWATER DR
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1398
Practice Address - Country:US
Practice Address - Phone:207-781-7900
Practice Address - Fax:207-781-2900
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDO3249204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM