Individual
MR. DUSTIN DANIEL FLANNERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF NEONATOLOGY, PHILADELPHIA, PA 19104-4319
(215) 662-3228
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF NEONATOLOGY, PHILADELPHIA, PA 19104-4319
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
OS016578
PA
208D00000X
General Practice Physician
C20010658
DE
208D00000X
General Practice Physician
OS016578
PA
208M00000X
Hospitalist Physician
OSO16578
PA
Other
Enumeration date
04/05/2011
Last updated
05/02/2018
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