MEDICARE: MR. DANIEL DIVER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	039031	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346243474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL DIVER MD

Provider Business Mailing Address
First Line	:	1000 ASYLUM AVE
Second Line	:	STE 2109A
City	:	HARTFORD
State	:	CT
Zip	:	06105-1719
Country	:	US
Telephone Number	:	860-714-6581
Fax Number	:	860-714-8311

Provider Business Practice Location Address
First Line	:	114 WOODLAND ST
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06105-1208
Country	:	US
Telephone Number	:	860-714-4161
Fax Number	:	860-714-8311

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	02/24/2009

Similar Medicare Providers

1255334207 — RICHARD SOUCIER MD
Practice Location Address:

114 WOODLAND ST
HARTFORD, CT
06105-1208

Practice Phone: 860-714-4820
Practice Fax: 860-714-8001

1083617161 — ANITA KELSEY MD
Practice Location Address:

114 WOODLAND ST , CARDIOLOGY
HARTFORD, CT
06105-1208

Practice Phone: 860-714-4821
Practice Fax: 860-714-8001

1194727412 — EYTAN RUBINSTIEN MD
Practice Location Address:

114 WOODLAND ST , INFECTIOUS
HARTFORD, CT
06105-1208

Practice Phone: 860-714-4903
Practice Fax: 860-714-8099

1376545699 — CHERYL SMITH MD
Practice Location Address:

114 WOODLAND ST , INFECTIOUS DISEASE
HARTFORD, CT
06105-1208

Practice Phone: 860-714-4903
Practice Fax: 860-714-8099

1760484083 — RALPH MARTIN MD
Practice Location Address:

114 WOODLAND ST
HARTFORD, CT
06105-1208

Practice Phone: 860-714-7124
Practice Fax: 860-714-8217

1649277013 — KAMAL C SHOUKRI MD
Practice Location Address:

114 WOODLAND ST , CENTER FOR DIABETES
HARTFORD, CT
06105-1208

Practice Phone: 860-714-4402
Practice Fax:

Directions to “ MR. DANIEL DIVER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.