Individual
DR. DANIEL JAMES PATRISSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SPRING ST, STE 302, LACONIA, NH 03246-3113
(603) 524-8660
(603) 528-6220
Mailing address
85 SPRING ST, STE 302, LACONIA, NH 03246-3113
(603) 524-8660
(603) 528-6220
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
7001
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105305Y0NH01
ANTHEM BCBS
NH
05
—
81344154
—
NH
Enumeration date
02/28/2006
Last updated
11/06/2007
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