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Individual

DR. DANIEL COACHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1603 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1019
(215) 242-2439
(215) 242-2596
Mailing address
1603 E WADSWORTH AVE, PHILADELPHIA, PA 19150-1019
(215) 242-2439
(215) 242-2596

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD066378L
PA
207R00000X
Internal Medicine Physician
MD066378L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001786320
PA
01
341418
BLUE SHIELD
PA
01
815012
FIRST PRIORITY HEALTH
PA
01
930089957
RAILROAD MEDICARE
PA
Enumeration date
08/18/2005
Last updated
11/19/2015
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