Individual
MR. DANIEL G JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1154 PUTNEY RD, BRATTLEBORO, VT 05301-9061
(802) 490-2100
Mailing address
74 PLEASANT ST STE 204, NEW LONDON, NH 03257-5881
(603) 526-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
014232
NY
363A00000X
Physician Assistant
Primary
055.0031490
VT
363A00000X
Physician Assistant
10001488A
IN
363A00000X
Physician Assistant
PA1504
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12443182
CAQH
—
Enumeration date
10/20/2010
Last updated
01/05/2021
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