Individual
DANIEL CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
14 FOXHUNT DR, BEAR, DE 19701-2534
(410) 392-2797
(856) 665-6813
Mailing address
329 MARLTON PIKE WEST, MIRACLE-EAR CENTER, CHERRY HILL, NJ 08002
(856) 471-7870
(856) 665-6813
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
O3-0010282
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O3-0010282
STATE OF DELAWARE
DE
Enumeration date
10/23/2020
Last updated
10/23/2020
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