Individual
DANIEL J RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, EAST PAVILION 2ND FLOOR, PHILADELPHIA, PA 19104
(215) 615-4949
(215) 243-3255
Mailing address
3400 CIVIC CENTER BLVD, EAST PAVILION 2ND FLOOR, PHILADELPHIA, PA 19104
(215) 615-4949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD051642L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014411260001
—
PA
Enumeration date
07/07/2006
Last updated
12/08/2011
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