Provider Demographics
NPI:1144201732
Name:GUILBERT, DANIEL B (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:B
Last Name:GUILBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5 NEPONSET ST FL STREET2
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-368-5532
Mailing Address - Fax:508-832-0859
Practice Address - Street 1:385 SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2498
Practice Address - Country:US
Practice Address - Phone:508-721-1170
Practice Address - Fax:508-832-0859
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA41598207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
917744OtherFIRST HEALTH
9900074OtherFALLON COMMUNITY HEALTH
N01819OtherBLUE SHIELD INDEMNITY
26888OtherCHILDRENS MEDICAL SECURIT
26888OtherHEALTHY START
WELFAREOther3099571
0401729OtherEVERCARE
042472266OtherHEALTHCARE VALUE MANAGEME
AA1206OtherHARVARD PILGRIM HEALTHCAR
N01819OtherBLUE SHIELD HMO BLUE
7407335OtherAETNA US HEALTHCARE
7636511OtherCIGNA HEALTH PLAN
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
784142OtherMVP HEALTH CARE
N01819OtherBLUE CARE ELECT
7636511OtherCIGNA HEALTH PLAN
784142OtherMVP HEALTH CARE
A67184Medicare UPIN
AA1206OtherHARVARD PILGRIM HEALTHCAR