Individual
MICHAEL DANIEL DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
73 HIGH ST, CHARLESTOWN HEALTH CARE CENTER, CHARLESTOWN, MA 02129-3026
(617) 724-8229
(617) 726-3514
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-8229
(617) 726-3514
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32948
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032948
TUFTS HEALTH PLAN
MA
01
—
B11416
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
07/25/2012
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