Individual
CARL LEON DANIELSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACS
Contact information
Practice address
50 ROWE STREET, SUITE 400, MELROSE, MA 02176
(781) 665-4462
(781) 620-1930
Mailing address
50 ROWE STREET, SUITE 400, MELROSE, MA 02176
(781) 665-4462
(781) 620-1930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
76101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035205
NEIGHBORHOOD HEALTH PLAN
—
01
—
076101
MEDICARE PREFERRED TUFTS
—
01
—
3093719
MASSHEALTH
—
05
—
3093719
—
MA
01
—
39271
COST CARE
—
01
—
459233
AETNA
—
01
—
8557
HARVARD PILGRIM
—
01
—
99028701
NETWORK HEALTH
—
01
—
J12576
BLUE CROSS BLUE SHIELD
—
01
—
PR12357520001
CIGNA
—
Enumeration date
06/22/2006
Last updated
03/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us