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Daniela Prodanovic, M.D.

Internal Medicine, Gastroenterology in Brockton, MA. Individual provider (NPI-1).

NPI number1104859628
StatusActive
Last updated in NPPESJan 5, 2010

Details

NPI
1104859628
Entity type
Individual (NPI-1)
Name
Daniela Prodanovic
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 8, 2006
Last updated
Jan 5, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology223731MAYes

Practice location

189 Quincy St
Brockton, MA 02302-2926

Phone 508-588-6700 · Fax 508-584-3010

Mailing address

189 Quincy St
Brockton, MA 02302-2926

Phone 508-588-6700 · Fax 508-584-3010

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