Healthcare Provider Details

I. General information

NPI: 1962652560
Provider Name (Legal Business Name): AJU DANIEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2008
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 PLEASANT ST STE 306
FALL RIVER MA
02721-3005
US

IV. Provider business mailing address

123 SUMMER STREET
SHREWSBURY MA
01545-3818
US

V. Phone/Fax

Practice location:
  • Phone: 508-675-3232
  • Fax:
Mailing address:
  • Phone: 508-363-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number236824
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number254144
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: