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General NPI Number Information
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NPI Number | 1629496872
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Entity Type | Individual
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Provider Name | DANIEL CALLAGHAN III
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Gender | Male
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 3540 S POPLAR ST STE 300
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City | DENVER
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State | CO
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Zip | 80237-1364
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Country | US
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Telephone | 303-850-9715
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Fax |
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Provider Business Mailing Address
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Address Line | 609 ALBANY ST
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City | BOSTON
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State | MA
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Zip | 02118-2515
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | MD487930C
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 264816
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License Number State | MA
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