Provider Demographics
NPI:1407990195
Name:DACHER, ELLIOT S (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:S
Last Name:DACHER
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 1:3 E PASTURE WAY
Mailing Address - Street 2:
Mailing Address - City:AQUINNAH
Mailing Address - State:MA
Mailing Address - Zip Code:02535-1428
Mailing Address - Country:US
Mailing Address - Phone:508-645-9058
Mailing Address - Fax:
Practice Address - Street 1:3 E PASTURE WAY
Practice Address - Street 2:
Practice Address - City:AQUINNAH
Practice Address - State:MA
Practice Address - Zip Code:02535-1428
Practice Address - Country:US
Practice Address - Phone:508-645-9058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA33374207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine