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NPI Code Detail

MEDICARE: DANIEL ANTHONY C FRATTARELLI MD

MEDICARE: DANIEL ANTHONY C FRATTARELLI 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
1208000000XPediatrics Physician35.155645OH
2208000000XPediatrics Physician4301070674MI

General Provider Information

NPI Number : 1942247432
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL ANTHONY C FRATTARELLI MD
Provider Business Mailing Address
First Line : 3000 ARLINGTON AVE STOP 1108
Second Line :
City : TOLEDO
State : OH
Zip : 43614-2595
Country : US
Telephone Number : 419-383-5322
Fax Number :
Provider Business Practice Location Address
First Line : 3125 TRANSVERSE DR STE C
Second Line :
City : TOLEDO
State : OH
Zip : 43614-8008
Country : US
Telephone Number : 419-383-3771
Fax Number : 419-383-3162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 04/08/2026

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