Provider Demographics
NPI:1598093833
Name:PASCUCCI, DANIEL R (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:R
Last Name:PASCUCCI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:314 FRANKLIN AVE
Mailing Address - Street 2:SUITE 105-B
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-1215
Mailing Address - Country:US
Mailing Address - Phone:410-641-1900
Mailing Address - Fax:410-641-9473
Practice Address - Street 1:314 FRANKLIN AVE
Practice Address - Street 2:SUITE 105-B
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-1215
Practice Address - Country:US
Practice Address - Phone:410-641-1900
Practice Address - Fax:410-641-9473
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2011-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDH0071267207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine