Provider Demographics
NPI:1568461028
Name:POWERS, DANIEL B (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:POWERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:203 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864
Mailing Address - Country:US
Mailing Address - Phone:978-664-1990
Mailing Address - Fax:978-664-2105
Practice Address - Street 1:203 MAIN STREET
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864
Practice Address - Country:US
Practice Address - Phone:978-664-1990
Practice Address - Fax:978-664-2105
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226700207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
04-10823OtherEVERCARE
966577OtherNETWORK HEALTH
MA478918OtherTUFTS HEALTH PLAN
P00306569OtherRAILROAD MEDICARE
NH30224106OtherNH MEDICAID
MDAA50704OtherHARVARD PILGRIM HEALTHCAR
0037519OtherNEIGHBORHOOD HEALTH PLAN
9227969OtherCIGNA HEALTHCARE
555404OtherHEALTHSOURCDE
NHH74533OtherANTHEM BLUE CROSS
MAJ29712OtherBLUE CROSS BLUE SHIELD
04-10823OtherEVERCARE
966577OtherNETWORK HEALTH
MA2111977Medicare ID - Type Unspecified