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Individual

DR. DANIEL J VENEZIA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
5727 OPUS DR, CARMEL, IN 46033-8523
(317) 846-9297
Mailing address
5727 OPUS DR, CARMEL, IN 46033-8523
(317) 846-9297

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
20010490A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100377010
IN
01
680008237
MEDICARE RAILROAD
IN
Enumeration date
08/18/2005
Last updated
10/17/2012
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