National Provider Identifier
Daniel Mwanza, D.O.
Daniel Mwanza, D.O. is listed in the NPPES registry with a primary specialty of Surgery Physician in Rochester, NY and a listed phone number of (585) 922-4518.
Profile Overview
- NPI
- 1275827826
- Provider Type
- Individual
- Primary Specialty
- Surgery Physician
- Enumeration Date
- May 31, 2011
- Last Updated
- September 13, 2023
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4518
Specialties
- Surgery Physician (208600000X)
- Surgery Physician (208600000X)
- Trauma Surgery Physician (2086S0127X)
Full Record
- NPI
- 1275827826
- Entity Type
- Individual
- Last Name
- Mwanza
- First Name
- Daniel
- Credential
- D.O.
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3011
- Mailing Country
- US
- Mailing Phone
- (585) 922-4518
- Mailing Fax
- (585) 336-5113
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4518
- Practice Fax
- (585) 336-5113
- Enumeration Date
- May 31, 2011
- Last Updated
- September 13, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgery Physician (208600000X), Surgery Physician (208600000X), Trauma Surgery Physician (2086S0127X)
- Other Identifiers
- 200686170A (OK), 218263003 (AR)