Koelliker, Daniel David
Koelliker, Daniel David is an individual health care provider with primary practice located at 2014 Washington St Pathology Department, Newton-Wellesley Hospital, Newton MA 02462-1607. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Koelliker, Daniel David can be contacted via phone (617) 243-6140.Contact Information
Primary practice address
2014 Washington St Pathology Department, Newton-Wellesley Hospital
Newton MA 02462-1607
Phone: (617) 243-6140
Fax: (617) 243-5809
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 79822 | Massachusetts |
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 79822 | Massachusetts |
Profile Details
NPI number | 1508876871 |
---|---|
LBN Legal business name | Koelliker, Daniel David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 9th, 2006 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508876871 | NPPES |
Other | 000000021384 | BOSTON CITY HEALTH NET | |
MEDICAID | 3126374 | BOSTON CITY HEALTH NET | |
Other | 34725 | BOSTON CITY HEALTH NET | |
Other | 34802 | BOSTON CITY HEALTH NET | |
Other | 34802 | BOSTON CITY HEALTH NET | |
Other | 803550 | BOSTON CITY HEALTH NET | |
Other | 737777 | BOSTON CITY HEALTH NET | |
Other | KOJ30752 | BOSTON CITY HEALTH NET |
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