Individual
DR. DANIEL J HEDEQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6021
(617) 730-0459
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 461-3173
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20013
NH
207X00000X
Orthopaedic Surgery Physician
Primary
203238
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140899
—
MA
Enumeration date
06/07/2006
Last updated
02/24/2020
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