Individual
DANIEL PAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3831
Mailing address
10 ORIOLE DR, VOORHEES, NJ 08043-1622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00143800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062670
NCCPA
—
Enumeration date
10/18/2006
Last updated
07/08/2007
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