Individual
DR. DANIEL JAY KONICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0032353
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032388
JHHC PROVIDER NUMBER
MD
01
—
0927385
AETNA CAPITATED
MD
01
—
110183169
RR MEDICARE
MD
05
—
159031600
—
MD
01
—
248738
MAMSI SPECIALIST
MD
01
—
3086076
CIGNA PIN
MD
01
—
529991-06
CAREFIRST MD RENDERING
MD
01
—
5360473
AETNA FEE FOR SERVICE
MD
01
—
7605-0043
CAREFIRST BLUECHOICE
MD
01
—
848738
MAMSI PRIMARY CARE
MD
01
—
P12855
CAREFIRST MPOS
MD
Enumeration date
08/09/2005
Last updated
05/24/2012
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