Individual
JOHN CHRISTOPHER DANIEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TROUT AVE BLDG 141, NAVAL SUBMARINE MEDICAL RESEARCH LABORATORY, GROTON, CT 06349-5900
(860) 694-2377
(860) 694-3590
Mailing address
ROUTE 12 BLDG 449, NAVAL HEALTH CARE NEW ENGLAND ATTN PROFESSIONAL AFFAIRS, GROTON, CT 06349-5600
(860) 694-2377
(860) 694-2590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD034609E
PA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
MD034609E
PA
2083A0100X
Aerospace Medicine Physician
MD034609E
PA
208D00000X
General Practice Physician
MD034609E
PA
Other
Enumeration date
11/30/2005
Last updated
09/11/2025
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