Daniela Prodanovic, MD
Internal Medicine, Gastroenterology in Brockton, Massachusetts
1104859628- Practice location
- 189 Quincy St, Brockton, MA 02302-2926
- Phone
- 508-588-6700
- Fax
- 508-584-3010
- Last updated
- January 5, 2010
Daniela Prodanovic is an Internal Medicine, Gastroenterology based in Brockton, MA. Daniela Prodanovic practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Daniela Prodanovic is 1104859628 and holds a License No. 223731 (MA). The current practice location address for Daniela Prodanovic is 189 Quincy St, Brockton, MA 02302-2926 and can be reached out via phone at 508-588-6700 and via fax at 508-584-3010.
Provider Profile Details
- NPI Number
- 1104859628
- Provider Name
- Daniela Prodanovic
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 189 Quincy St, Brockton, MA 02302-2926
- Phone Number
- 508-588-6700
- Fax Number
- 508-584-3010
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 8, 2006
- Last Update Date
- January 5, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 189 Quincy St
Brockton, MA 02302-2926 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-2926
- Phone Number
- 508-588-6700
- Fax Number
- 508-584-3010
Provider Business Mailing Address Details
- Address
- 189 Quincy St
Brockton, MA 02302-2926 - City
- Brockton
- State
- MA
- Zip
- 02302-2926
- Phone Number
- 508-588-6700
- Fax Number
- 508-584-3010
License Information
- License Number
- 223731
- License State
- MA
- Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Daniela Prodanovic, MD?
The NPI number of Daniela Prodanovic, MD is 1104859628. It was assigned on July 8, 2006 and is currently active in the NPPES registry.
What is the specialty of Daniela Prodanovic, MD?
Daniela Prodanovic, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in MA under license number 223731.
Where does Daniela Prodanovic, MD practice?
The practice location is 189 Quincy St, Brockton, MA 02302-2926. The office can be reached at 508-588-6700 (phone) or 508-584-3010 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104859628 directly on the NPPES registry website.