Individual
DR. DANIEL HENRY CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 E. ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-8363
(215) 427-4385
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
(215) 427-4385
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD063466L
PA
208000000X
Pediatrics Physician
MD063466L
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
MD063466L
PA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD063466L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018142830003
—
PA
01
—
043969
HCFA PIN
PW
01
—
061676-L
STATE MEDICAL LICENSE
PA
Enumeration date
04/13/2006
Last updated
03/07/2023
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