Individual
DANIEL DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
194 THOMAS JOHNSON DR, FREDERICK, MD 21702-4679
(240) 575-2526
Mailing address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 643-6070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D66830
MD
207RG0100X
Gastroenterology Physician
Primary
D0066830
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016093800
—
MD
01
—
D66830
STATE LICENSE
MD
Enumeration date
08/28/2006
Last updated
07/05/2022
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