Individual
DANIELLE M DEHORATIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 19010-3231
(610) 642-1090
(610) 658-5861
Mailing address
825 OLD LANCASTER RD, SUITE 320, BRYN MAWR, PA 19010-3231
(610) 642-1090
(610) 658-5861
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD427615
PA
207NS0135X
Procedural Dermatology Physician
Primary
MD427615
PA
Other
Enumeration date
08/23/2006
Last updated
02/27/2020
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