Individual
MR. DANIEL COLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
450 W CHEW ST, SUITE 101, ALLENTOWN, PA 18102-3434
(610) 776-4888
Mailing address
6746 STEIN WAY, MACUNGIE, PA 18062-9492
(610) 398-0677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD016876E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0799988
—
PA
Enumeration date
04/17/2006
Last updated
03/23/2009
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