Provider Demographics
NPI:1902972599
Name:BIZER, DANIEL N (DMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:N
Last Name:BIZER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:32 BRASSIE WAY
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-3435
Mailing Address - Country:US
Mailing Address - Phone:978-664-0012
Mailing Address - Fax:978-664-1575
Practice Address - Street 1:3 CABOT PL
Practice Address - Street 2:SUITE 1
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-4612
Practice Address - Country:US
Practice Address - Phone:781-436-8770
Practice Address - Fax:781-436-8772
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA10482207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0267465Medicaid
MAX2044OtherMEDICARE PTAN
MAX2044OtherMEDICARE PTAN