Individual
DR. DANIEL DANESHVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
300 1ST AVE, CHARLESTOWN, MA 02129-3109
(617) 952-5000
Mailing address
300 1ST AVE, CHARLESTOWN, MA 02129-3109
(617) 952-5000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ETL5660
MA
Other
Enumeration date
07/11/2016
Last updated
08/11/2020
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