# RICHARD J DANIELS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417905043
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 4301510207 | MI | — |
| 2086S0129X | Vascular Surgery Physician | 25MA06910800 | NJ | Yes |
| 2086S0129X | Vascular Surgery Physician | MD057930L | PA | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 06/06/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017531500001 | — | PA |
| 01 | — | 1172539 | AETNA HMO | PA |
| 01 | — | 1413260 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 2100067000 | IBC - PC/KHPE | PA |
| 01 | — | 30026847 | KEYSTONE MERCY | PA |
| 01 | — | 5398994 | CIGNA HMO/PPO | PA |
| 01 | — | 7034415 | AETNA PPO | PA |
| 05 | — | 8010005 | — | NJ |