Provider Demographics
NPI:1912914276
Name:FLYNN, DANIEL F (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:F
Last Name:FLYNN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18201 VON KARMAN AVE
Mailing Address - Street 2:STE 600
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-1176
Mailing Address - Country:US
Mailing Address - Phone:949-242-5592
Mailing Address - Fax:
Practice Address - Street 1:70 EAST ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4597
Practice Address - Country:US
Practice Address - Phone:978-683-9209
Practice Address - Fax:978-687-4468
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2019-12-16
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Provider Licenses
StateLicense IDTaxonomies
MA559232085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E29462Medicare UPIN