Individual
DANIEL R GACCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 AIRPORT RD, WESTERLY, RI 02891
(401) 596-0259
(401) 348-5934
Mailing address
101 AIRPORT RD., WESTERLY, RI 02891
(401) 596-0259
(401) 348-5934
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
034988
CT
207X00000X
Orthopaedic Surgery Physician
Primary
MD07085
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010007085RI02
ANTHEM BC/BS
RI
01
—
010034988CT02
ANTHEM BC/BS
CT
01
—
0901058
UNITED HEALTH
—
01
—
22654-7
BCBS
RI
01
—
2V1386
HEALTHNET
—
Enumeration date
07/18/2005
Last updated
09/12/2013
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