Daniel Detolla (NPI# 1275576829, PAC ID# 4880624519) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1275576829 |
| PAC ID by PECOS | 4880624519 |
| Professional Enrollment ID | I20050812000713 |
| Full Name | Daniel Detolla |
| Address |
200 Griffin Park Rd Suite 8 Portsmouth NH 03801 |
| Phone Number | 6034363608 |
| Gender | M |
| Credential | DDS |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Griffin Park Rd, Suite 8, Portsmouth, NH 03801 | 6034363608 |
| Street Address |
200 GRIFFIN PARK RD SUITE 8 |
| City | PORTSMOUTH |
| State | NH |
| Zip | 03801 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristina Zorger | Psychologist, Clinical | 30 Mirona Rd Extension, Portsmouth, NH 03801 | |
| Deeptha Sastry | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Mark A Chag | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Patricia M Yauch | Nurse Practitioner | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Emily Jerszyk Amarosa | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Wendy A Mclaughlin | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Sonja N Nelson | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Caroline Scoones | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Heidi Keup | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Saroj Andreena Fleming | Obstetrics/gynecology | Harbour Womens Health Pllc | 155 Griffin Rd, Portsmouth, NH 03801-2093 |
| Find all physicians in zip 03801 | |||
| City | PORTSMOUTH |
| Zip Code | 03801 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | PORTSMOUTH + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Daniel Detolla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.