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NPI Code Detail

MEDICARE: DANIEL H SLATER M.D.

MEDICARE: DANIEL H SLATER 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
1208000000XPediatrics Physician79924MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1079924OTHERMATUFTS
2J30897OTHERMABLUE CROSS
30015167OTHERMANEIGHBORHOOD HEALTH
4PP607OTHERMAHARVARD PILGRIM
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518947282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL H SLATER M.D.
Provider Business Mailing Address
First Line : 485 ARSENAL ST
Second Line :
City : WATERTOWN
State : MA
Zip : 02472-5091
Country : US
Telephone Number : 617-972-5570
Fax Number : 617-972-5593
Provider Business Practice Location Address
First Line : 485 ARSENAL ST
Second Line :
City : WATERTOWN
State : MA
Zip : 02472-5091
Country : US
Telephone Number : 617-972-5570
Fax Number : 671-972-5593
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 10/23/2020

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