1891671772 NPI number — DR. DANIEL JAMES JOSEPH PANNOZZO M.D.

Table of content: DR. DANIEL JAMES JOSEPH PANNOZZO M.D. (NPI 1891671772)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891671772 NPI number — DR. DANIEL JAMES JOSEPH PANNOZZO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PANNOZZO
Provider First Name:
DANIEL
Provider Middle Name:
JAMES JOSEPH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891671772
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 BROCK ST SOUTH
Provider Second Line Business Mailing Address:
UNIT # 2
Provider Business Mailing Address City Name:
DUNDAS
Provider Business Mailing Address State Name:
ONTARIO
Provider Business Mailing Address Postal Code:
L9H 3G6
Provider Business Mailing Address Country Code:
CA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2077 WEST 42ND AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
BRITISH COLUMBIA
Provider Business Practice Location Address Postal Code:
V6M 2B4
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
647-629-6230
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  A202278 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com