Individual
DR. DANIEL STEPHAN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BLK 4, BOSTON, MA 02114-2621
(617) 726-3313
(617) 724-6832
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-3313
(617) 724-6832
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
74297
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074297
TUFTS HEALTH PLAN
MA
05
—
3140750
—
MA
01
—
J31250
BCBS MA
MA
Enumeration date
11/10/2005
Last updated
12/14/2012
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