Provider Demographics
NPI:1013906841
Name:ZINN, DANIEL W (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:W
Last Name:ZINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:489 BERNARDSTON RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-1238
Mailing Address - Country:US
Mailing Address - Phone:413-325-8500
Mailing Address - Fax:413-772-6969
Practice Address - Street 1:489 BERNARDSTON RD
Practice Address - Street 2:SUITE 108
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-1238
Practice Address - Country:US
Practice Address - Phone:413-325-8500
Practice Address - Fax:413-772-6969
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2011-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA44473208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1000492Medicaid
000000006353OtherHEALTH NET
761869OtherTUFTS
17922OtherHEALTH NEW ENGLAND
MA2072408Medicaid
F10091OtherBLUE CROSS/BLUE SHIELD
202163OtherHARVARD PILGRIM
NH30001841Medicaid
NH30001841Medicaid