Doctor Name: | BRYAN THOMAS DANNA |
NPI Number: | 1033360300 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 002184 |
Business Practice Address: | 12 Bokum Rd Essex, CT - 064261500 |
Business Phone Number: | 8607679053 |
Business Fax Number: | 8607671146 |
Mailing Address: | 12 Bokum Rd, ESSEX |
State: | CT |
Postal Code: | 064261500 |
Phone Number: | 8607679053 |
Fax Number: | 8607671146 |
NPI Enumeration Date: | 10/06/2008 |
NPI Last Update Date: | 10/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 002184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |