Healthcare Provider Details

I. General information

NPI: 1013906841
Provider Name (Legal Business Name): DANIEL W ZINN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 11/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

489 BERNARDSTON RD SUITE 108
GREENFIELD MA
01301-1238
US

IV. Provider business mailing address

489 BERNARDSTON RD SUITE 108
GREENFIELD MA
01301-1238
US

V. Phone/Fax

Practice location:
  • Phone: 413-325-8500
  • Fax: 413-772-6969
Mailing address:
  • Phone: 413-325-8500
  • Fax: 413-772-6969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number44473
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: