Individual
DANIELLE M CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(724) 971-5002
Mailing address
501 OAK GROVE LN, WAYNE, PA 19087-3728
(724) 971-5002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110002310
VA
363A00000X
Physician Assistant
4977
MA
363A00000X
Physician Assistant
Primary
MA053373
PA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/25/2006
Last updated
10/28/2022
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