Provider Demographics
NPI:1730747791
Name:VAZQUEZ, DANNY ALBERTO JR (MD)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:ALBERTO
Last Name:VAZQUEZ
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-7000
Mailing Address - Fax:
Practice Address - Street 1:4945 W CYPRESS AVE STE A
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-1592
Practice Address - Country:US
Practice Address - Phone:559-624-3100
Practice Address - Fax:559-635-4043
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA280429207R00000X
CAA1825012085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine