Provider Demographics
NPI:1760877310
Name:MASELLI, DANIEL BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BARRY
Last Name:MASELLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5673 PEACHTREE DUNWOODY RD
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1731
Mailing Address - Country:US
Mailing Address - Phone:404-474-7433
Mailing Address - Fax:888-882-6299
Practice Address - Street 1:5673 PEACHTREE DUNWOODY RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30342-1731
Practice Address - Country:US
Practice Address - Phone:404-474-7433
Practice Address - Fax:888-882-6299
Is Sole Proprietor?:No
Enumeration Date:2015-03-31
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN63255207R00000X, 207RG0100X
MN63726207RG0100X
NC2022-00132207RG0100X
GA91012207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine