Provider Demographics
NPI:1043357270
Name:SCIUBBA, DANIEL MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MICHAEL
Last Name:SCIUBBA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5 HALLSDALE CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-5008
Mailing Address - Country:US
Mailing Address - Phone:410-931-9089
Mailing Address - Fax:410-502-5768
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:MEYER BUILDING 8-161
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-491-8330
Practice Address - Fax:410-502-5768
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0064554207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery