Physician Compare National (NPI:1447443676)

HEALTHCARE PROVIDER: ANTONIO DARIA JR. DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1447443676
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5395831580
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20071018000841
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DARIA
	Individual professional last name
Provider First Name	ANTONIO
	Individual professional first name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4 BRUSHY PLAIN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 519
	Group Practice or individual's line 2 address
City	BRANFORD
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	064056000
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	YALE-NEW HAVEN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y