Provider Demographics
NPI:1164051868
Name:ABELA, DANIELE (MD)
Entity Type:Individual
Prefix:
First Name:DANIELE
Middle Name:
Last Name:ABELA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38C SEVEN SPRINGS LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-5123
Mailing Address - Country:US
Mailing Address - Phone:781-775-9753
Mailing Address - Fax:
Practice Address - Street 1:860 WASHINGTON STREET
Practice Address - Street 2:SOUTH BUILDING, 4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111
Practice Address - Country:US
Practice Address - Phone:617-636-9400
Practice Address - Fax:617-636-8003
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-04
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA284133208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery