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Organization

ROGER N DANZIGER MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROGER NOLAND DANZIGER MD (DOCTOR/PRESIDENT)
(941) 761-1911
Entity
Organization

Contact information

Practice address
5404 CORTEZ RD W, BRADENTON, FL 34210-2815
(941) 761-1911
(941) 761-9223
Mailing address
PO BOX 14908, BRADENTON, FL 34280-4908
(941) 761-1911
(941) 761-9223

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME58560
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
370535800
FL
Enumeration date
07/30/2010
Last updated
07/30/2010
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