Individual
DANIEL BANASZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON STREET, SUITE 341, NEWTON, MA 02462-1625
(617) 964-0024
(617) 964-6374
Mailing address
2000 WASHINGTON STREET, SUITE 341, NEWTON, MA 02462-1625
(617) 964-0024
(617) 964-6374
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
278086
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
278086
MA
Other
Enumeration date
03/25/2019
Last updated
09/03/2019
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