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Individual

MR. DANIEL DIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
114 WOODLAND ST, HARTFORD, CT 06105-1208
(860) 714-4161
(860) 714-8311
Mailing address
1000 ASYLUM AVE, STE 2109A, HARTFORD, CT 06105-1719
(860) 714-6581
(860) 714-8311

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
039031
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001390319
CT
Enumeration date
05/23/2005
Last updated
02/24/2009
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