Individual
DANIEL J. MUPPIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 LINCOLN ST, SUITE 208, FRAMINGHAM, MA 01702-8264
(508) 393-0077
(508) 628-5410
Mailing address
61 LINCOLN STREET, SUITE 208, FRAMINGHAM, MA 01702
(508) 628-5400
(508) 628-5410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
79117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3140075
—
MA
01
—
66326
HARVARD PILGRIM
MA
01
—
79117
TUFTS
MA
01
—
J16112
BLUE CROSS
MA
Enumeration date
10/20/2005
Last updated
01/29/2013
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