| Doctor Name: | MR. CHARLES E DANIELSON |
| NPI Number: | 1073517819 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 009473 |
| Business Practice Address: | 159 Silver St Waterville, ME - 049015813 |
| Business Phone Number: | 2078735437 |
| Business Fax Number: | 2078615448 |
| Mailing Address: | 159 Silver St, WATERVILLE |
| State: | ME |
| Postal Code: | 049015813 |
| Phone Number: | 2078735437 |
| Fax Number: | 2078615448 |
| NPI Enumeration Date: | 06/09/2005 |
| NPI Last Update Date: | 01/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080A0000X |
| License Number: | 009473 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Adolescent Medicine |
| Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |