Provider Demographics
NPI:1396729786
Name:MUSE, DANIEL ARTHUR (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:ARTHUR
Last Name:MUSE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 NATHANIEL WAY
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3852
Mailing Address - Country:US
Mailing Address - Phone:781-575-9913
Mailing Address - Fax:
Practice Address - Street 1:10 NATHANIEL WAY
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-3852
Practice Address - Country:US
Practice Address - Phone:781-575-9913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60713207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3043568Medicaid
MAD87968Medicare UPIN
MA3043568Medicaid