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Organization
VICTORY MEDICAL OF PENNSYLVANIA PC
Active
Organization
VICTORY MEDICAL OF PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD DANIELS MD (OWNER)
(732) 598-4226
Entity
Organization
Contact information
Practice address
135 S 19TH ST, PHILADELPHIA, PA 19103-4912
(917) 599-9655
Mailing address
135 S 19TH ST, PHILADELPHIA, PA 19103-4912
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
02/12/2026
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