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NPI Code Detail

MEDICARE: DANIEL ALLEN NADEAU MD

MEDICARE:   DANIEL ALLEN NADEAU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician11513NH
2207RE0101XEndocrinology, Diabetes & Metabolism Physician11513NH
3207RE0101XEndocrinology, Diabetes & Metabolism Physician013924ME
4207RE0101XEndocrinology, Diabetes & Metabolism PhysicianG88930CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215902226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ALLEN NADEAU MD
Provider Business Mailing Address
First Line : 510 SUPERIOR AVE STE 200B
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-3665
Country : US
Telephone Number : 949-791-3001
Fax Number : 949-791-3096
Provider Business Practice Location Address
First Line : 510 SUPERIOR AVE STE 150
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-3663
Country : US
Telephone Number : 949-791-3001
Fax Number : 949-791-3096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 04/20/2018

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Directions to “ DANIEL ALLEN NADEAU MD” Practice Location

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