Individual
DR. DANIEL DAVID KOELLIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2014 WASHINGTON ST, PATHOLOGY DEPARTMENT, NEWTON-WELLESLEY HOSPITAL, NEWTON, MA 02462-1607
(617) 243-6140
(617) 243-5809
Mailing address
5 LIGHTHOUSE LN, BARRINGTON, RI 02806-2829
(401) 245-2389
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
79822
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
79822
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021384
BOSTON CITY HEALTH NET
—
05
—
3126374
—
MA
01
—
34725
HARVARD-PILGRIM HEALTH
—
01
—
34802
HARVARD PILGRIM HEALTH
—
01
—
737777
TUFTS HEALTH PLAN POS
—
01
—
803550
SECURE HORIZONS
—
01
—
KOJ30752
BC/BS MASS
—
Enumeration date
08/09/2006
Last updated
09/11/2025
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