Daniel Rettori Teixeira, PA
Physician Assistant, Surgical in Springfield, MA. Individual provider (NPI-1).
NPI number1215577366
StatusActive
Last updated in NPPESNov 2, 2023
Details
- NPI
- 1215577366
- Entity type
- Individual (NPI-1)
- Name
- Daniel Rettori Teixeira
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2020
- Certification date
- Nov 2, 2023
- Last updated
- Nov 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA7538 | MA | Yes |
| 363AS0400X | Physician Assistant, Surgical | 6329 | CT |
Practice location
2 Medical Center DriveSuite 301
Springfield, MA 01107-1270
Phone 413-794-8020 · Fax 413-794-2165
Mailing address
280 Chestnut Street2nd Floor
Springfield, MA 01199-1001
Phone 413-794-5700
Other practice locations
80 Seymour St
Hartford, CT 06102-8000
Hartford, CT 06102-8000
Phone 860-972-5000
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