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Organization

DANIEL J VILE DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL J. VILE D.O. (OWNER)
(215) 969-7510
Entity
Organization

Contact information

Practice address
9501 ROOSEVELT BLVD, SUITE 400, PHILADELPHIA, PA 19114-1029
(215) 969-7510
(215) 969-7513
Mailing address
PO BOX 16335, PHILADELPHIA, PA 19114-0435
(215) 969-7510
(215) 969-7513

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS006269L
PA
207RC0000X
Cardiovascular Disease Physician
Primary
OS006269L
PA
207RI0011X
Interventional Cardiology Physician
OS006269L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014125700004
PA
01
0549116000
KEYSTONE
PA
01
060052271
TRAVELERS MC
PA
01
1028248
KEYSTONE MERCY
PA
01
24078
HEALTH PARTNERS
PA
01
5491235
CIGNA
PA
01
5618455
AETNA/USHC
PA
01
712838
BLUE SHIELD
PA
Enumeration date
08/05/2006
Last updated
05/14/2008
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