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Organization

DANIEL R YANICKO JR MD PA

Active
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Organization

DANIEL R YANICKO JR MD PA

Active
Other names
Seaford Orthopedic Center
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL R YANICKO JR. M.D. (PRESIDENT -- ORTHOPAEDIC SURGEON)
(302) 236-1894
Entity
Organization

Contact information

Practice address
465 PINE ST, SOMERSET, KY 42503-4310
(302) 236-1894
Mailing address
465 PINE ST, SOMERSET, KY 42503-4310
(302) 236-1894

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C1-0008111
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000041262
DE
Enumeration date
10/03/2006
Last updated
05/22/2012
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