Individual
DANIEL M KOLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA 19104-5127
(215) 615-4949
(215) 615-0829
Mailing address
3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA 19104-5127
(215) 615-4949
(215) 615-0829
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD046647L
PA
207RC0000X
Cardiovascular Disease Physician
MD046647L
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD046647L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013981970002
—
PA
Enumeration date
06/24/2006
Last updated
09/16/2019
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