MEDICARE: DR. DANIEL M VELTRI M.D

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	174400000X	Specialist	030404	CT
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	030404	CT
3	207X00000X	Orthopaedic Surgery Physician	030404	CT
4	332B00000X	Durable Medical Equipment & Medical Supplies	030404	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	:	1457321796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL M VELTRI M.D

Provider Business Mailing Address
First Line	:	99 EAST RIVER DR
Second Line	:	5TH FL
City	:	EAST HARTFORD
State	:	CT
Zip	:	06108-7301
Country	:	US
Telephone Number	:	860-282-4022
Fax Number	:	860-289-0742

Provider Business Practice Location Address
First Line	:	360 TOLLAND TPKE
Second Line	:	SUITE 3-C
City	:	MANCHESTER
State	:	CT
Zip	:	06042-1771
Country	:	US
Telephone Number	:	860-649-0063
Fax Number	:

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

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	07/29/2013

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Directions to “ DR. DANIEL M VELTRI M.D” Practice Location

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