Individual
DANEIL COPERTINO KUFTINEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 ORNAC STE 740, LAHEY CLINIC UROLOGICAL INSTIT, CONCORD, MA 01742-4162
(978) 369-5551
(978) 369-1580
Mailing address
41 MALL RD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
242407
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110084414A
—
MA
Enumeration date
09/14/2007
Last updated
08/12/2011
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