Provider Demographics
NPI:1235184102
Name:FUNA, DANILO TOLENTINO (MD)
Entity Type:Individual
Prefix:DR
First Name:DANILO
Middle Name:TOLENTINO
Last Name:FUNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-9782
Practice Address - Street 1:50 MEMORIAL DR STE 214
Practice Address - Street 2:
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-2238
Practice Address - Country:US
Practice Address - Phone:978-534-6863
Practice Address - Fax:978-534-3417
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA80233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA080233OtherTUFTS
MA24262OtherFALLON
MAW10097102OtherCIGNA
MAJ16221OtherBLUECROSSBLUESHIELDS
MA1197895OtherAETNA
MAAA50132OtherHARVARD
MA3132929Medicaid
MAAA50132OtherHARVARD
MAAA50132OtherHARVARD