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Individual

DANIEL P EARDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 02720-5923
(508) 676-3411
(508) 676-0932
Mailing address
1030 PRESIDENT AVE, SUITE 3002, FALL RIVER, MA 02720-5923
(508) 676-3411
(508) 676-0932

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA73242
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000021259
BMC
01
000368
SWH
01
0027844
NHP
01
007057138
RAILROAD MEDICARE
MA
01
020013713
RAILROAD MED
01
073242
TUFTS
01
17 01019
UHC
01
201860
BLUE CHIP
05
3066720
MA
01
3427308
AETNA
01
5769116 002
CIGNA FOR REFERRALS
01
8406
HPHC
01
B20915902
CIGNA
05
DE07815
RI
01
J09838
BLUE CROSS BLUE SHIELD
MA
01
J09838
MASS BS
Enumeration date
06/22/2006
Last updated
04/26/2010
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