Individual
DANIEL EFFIONG UKPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
30 MEDICAL CENTER BLVD, SUITE 404, CHESTER, PA 19013-3955
(610) 619-8590
(610) 619-8591
Mailing address
30 MEDICAL CENTER BLVD, SUITE 404, CHESTER, PA 19013-3955
(610) 619-8590
(610) 619-8591
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
77573
GA
207R00000X
Internal Medicine Physician
OS017152
PA
207R00000X
Internal Medicine Physician
OT014444
PA
Other
Enumeration date
06/08/2012
Last updated
05/01/2019
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