Provider Demographics
NPI:1174588461
Name:BUDD, DANIEL CLAUDE (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:CLAUDE
Last Name:BUDD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:707 BROADWAY
Mailing Address - Street 2:GENERAL SURGEONS OF NORTH JERSEY PA
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07514
Mailing Address - Country:US
Mailing Address - Phone:973-742-3371
Mailing Address - Fax:973-742-3168
Practice Address - Street 1:707 BROADWAY
Practice Address - Street 2:GENERAL SURGEONS OF NORTH JERSEY PA
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07514
Practice Address - Country:US
Practice Address - Phone:973-742-3371
Practice Address - Fax:973-742-3168
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2010-04-06
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03295900208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1853406Medicaid
D07062Medicare UPIN
NJBU571399Medicare ID - Type Unspecified