Provider Demographics
NPI:1629427414
Name:DANSINGER TRANSFORMATION METHOD LLC
Entity Type:Organization
Organization Name:DANSINGER TRANSFORMATION METHOD LLC
Other - Org Name:DIABETES REVERSAL PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:DANSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-636-7105
Mailing Address - Street 1:831 BEACON ST STE 264
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1822
Mailing Address - Country:US
Mailing Address - Phone:617-600-8863
Mailing Address - Fax:617-207-2896
Practice Address - Street 1:275 GROVE ST STE 400
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-2272
Practice Address - Country:US
Practice Address - Phone:617-600-8863
Practice Address - Fax:617-207-2896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty