Individual
DAC TEOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0002
(570) 271-7383
(570) 271-7384
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A159724
CA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
MD473843
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
66978
MN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A159724
CA
Other
Enumeration date
03/21/2017
Last updated
05/05/2022
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