Healthcare Provider Details
I. General information
NPI: 1376719344
Provider Name (Legal Business Name): DANIELA URMA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/30/2008
Last Update Date: 11/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41 MALL RD
BURLINGTON MA
01805-0001
US
IV. Provider business mailing address
48 STRATHMORE RD APT 6
BRIGHTON MA
02135-7942
US
V. Phone/Fax
- Phone: 781-504-9567
- Fax:
- Phone: 617-230-5217
- Fax: 617-734-1446
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | 234942 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 234942 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: