Individual
DANIEL J CARDONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638-2924
(740) 533-0648
(740) 353-1662
Mailing address
225 CARLTON DAVIDSON LN, COAL GROVE, OH 45638-2924
(740) 533-0648
(740) 353-1662
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
30103
KY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35.089166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127440
—
OH
05
—
30608012
—
KY
Enumeration date
07/10/2006
Last updated
06/12/2023
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