Individual
DANIEL P BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
134 GRANDVIEW AVE, SUITE 101, WATERBURY, CT 06708-2507
(203) 756-8911
(203) 574-0548
Mailing address
134 GRANDVIEW AVE, SUITE 101, WATERBURY, CT 06708-2507
(203) 756-8911
(203) 574-0548
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
CT
363AM0700X
Medical Physician Assistant
Primary
002462
CT
Other
Enumeration date
09/23/2010
Last updated
01/12/2012
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