Individual
DR. DANIEL RA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
401 KINGS HWY S STE 5, CHERRY HILL, NJ 08034-2500
(856) 428-8992
(856) 428-9614
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MB08974500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0362018
—
NJ
Enumeration date
01/20/2009
Last updated
11/08/2024
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