Individual
DANIELLE O'BANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
142 BERKELEY ST, BOSTON, MA 02116-5100
(617) 247-7555
(617) 267-1113
Mailing address
142 BERKELEY ST, BOSTON, MA 02116-5100
(617) 247-7555
(617) 267-1113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
264757
MA
390200000X
Student in an Organized Health Care Education/Training Program
253036
MA
Other
Enumeration date
05/30/2012
Last updated
01/06/2017
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