Provider Demographics
NPI:1417016676
Name:NEUSTEIN, DANIEL H (MD)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:H
Last Name:NEUSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 210310
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-0310
Mailing Address - Country:US
Mailing Address - Phone:415-387-5773
Mailing Address - Fax:
Practice Address - Street 1:180 GRAND AVE NEWTON MEDICAL GROUP
Practice Address - Street 2:SUITE 100
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612
Practice Address - Country:US
Practice Address - Phone:510-208-4700
Practice Address - Fax:510-208-4710
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG7488208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A57908Medicare UPIN