Individual
DAT TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
267 BROOKLYN ST, CARBONDALE, PA 18407-2836
(570) 281-6670
Mailing address
1200 OLD YORK RD, ABINGTON, PA 19001-3788
(215) 481-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS022582
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
05/23/2023
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