Basic Information
| Provider Information | |||||||||
| NPI: | 1821038738 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | VENO | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 165 MILL ST | ||||||||
| Address2: | |||||||||
| City: | LEOMINSTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014533289 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9784663208 | ||||||||
| FaxNumber: | 9788401680 | ||||||||
| Practice Location | |||||||||
| Address1: | 165 MILL ST | ||||||||
| Address2: | |||||||||
| City: | LEOMINSTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 014533289 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9784663208 | ||||||||
| FaxNumber: | 9788401680 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 08/18/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 60380 | MA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 27023 | 01 | CHILDERENS MED SECUR PLAN | OTHER | AA1225 | 01 | HARVARD PILGRIM HEALTHCAR | OTHER | 3100979 | 01 | MEDICAID WELFARE | OTHER | 9900149 | 01 | FALLON COMM HEALTH PLAN | OTHER | 110052121A | 05 | MA | MEDICAID | 042472266 | 01 | HEALTHCARE VALUE MANAGEME | OTHER | 042472266 | 01 | ONE HEALTH PLAN | OTHER | 27023 | 01 | HEALTHY START | OTHER | 784205 | 01 | MVP HEALTH CARE | OTHER | J10108 | 01 | MEDICARE B | OTHER | 0100297 | 01 | EVERCARE | OTHER | 080099224 | 01 | RAILROAD MEDICARE | OTHER | 042472266 | 01 | PRIVATE HEALTHCARE SYSTEM | OTHER | J10108 | 01 | BLUE SHIELD INDEMNITY | OTHER | 0118411 | 01 | CIGNA HEALTH PLAN | OTHER | 1150384 | 01 | FIRST HEALTH | OTHER | 7630347 | 01 | AETNA US HEALTHCARE | OTHER | J10108 | 01 | BLUE CARE ELECT | OTHER |