Daniela Prodanovic in Brockton - Gastroenterology
Daniela Prodanovic - NPI 1104859628
Daniela Prodanovic is a Gastroenterology in Brockton, Massachusetts. Daniela Prodanovic practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Daniela Prodanovic is 1104859628. The last update date is 2010-01-05.
Daniela Prodanovic's current location address is 189 Quincy St, Brockton, Massachusetts. You can contact this provider via phone number 5085886700 and fax number 5085843010. The mailing address for Daniela Prodanovic is 189 Quincy St, Brockton, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniela Prodanovic |
|---|---|
| Address | 189 Quincy St, Brockton, Massachusetts |
| Phone Number | 5085886700 |
| Fax Number | 5085843010 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104859628 |
|---|---|
| Provider Enumeration Date | 2006-07-08 |
| Last Updated Date | 2010-01-05 |
Provider Mailing Address Detail
| Address | 189 Quincy St |
|---|---|
| City | Brockton |
| State | Massachusetts (MA) |
| Post Code | 23022926 |
| Phone Number | 5085886700 |
| Fax Number | 5085843010 |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | 223731 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2107651 | MA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Daniela Prodanovic by the Centers for Medicare & Medicaid Services?
The Daniela Prodanovic has been assigned the NPI (National Provider Identifier) 1104859628 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Daniela Prodanovic?
The Daniela Prodanovic is situated at 189 Quincy St, in the city of Brockton, state of MA, with the zip code 23022926.
What is the Daniela Prodanovic's area of specialization and corresponding taxonomy classification?
The Daniela Prodanovic's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.
When did Daniela Prodanovic receive its 1104859628 assignment?
The Daniela Prodanovic was assigned its 1104859628 on 2006-07-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Daniela Prodanovic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Daniela Prodanovic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-05.