Prodanovic, Daniela
Prodanovic, Daniela is an individual health care provider with primary practice located at 189 Quincy St , Brockton MA 02302-2926. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Prodanovic, Daniela can be contacted via phone (508) 588-6700.Contact Information
Primary practice address
189 Quincy St
Brockton MA 02302-2926
Phone: (508) 588-6700
Fax: (508) 584-3010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 223731 | Massachusetts |
Profile Details
| NPI number | 1104859628 |
|---|---|
| LBN Legal business name | Prodanovic, Daniela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Jan 5th, 2010 - about 15 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 | 1104859628 | NPPES |
| Massachusetts | MEDICAID | 2107651 |
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