Provider Demographics
NPI:1366468894
Name:ENGELMAN, DANIEL T (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:T
Last Name:ENGELMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:2 MEDICAL CENTER DR STE 512
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1273
Practice Address - Country:US
Practice Address - Phone:413-794-5550
Practice Address - Fax:413-794-4212
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA154685208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA518241OtherCONNECTICARE
MA24455OtherHEALTH NEW ENGLAND
MAJ21310OtherBLUE CROSS OF MA
MA000000023011OtherBMC-HEALTHNET
MA154685OtherTUFTS
MA807959OtherHARVARD PILGRIM
MA0013239OtherNEIGHBORHOOD HEALTH PLAN
MA3198057Medicaid
MA780001753OtherRAILROAD MEDICARE
MA518241OtherCONNECTICARE
MA807959OtherHARVARD PILGRIM