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Individual

DR. DANIEL JAMES PATRISSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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