# DANIEL J DIBARDINO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194904334
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 21479 | MS | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35132973 | OH | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A126903 | CA | — |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 06/08/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 05233505 | — | MS |
| 05 | — | 131143 | — | AL |