Individual
DANIEL J ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MSCE
Contact information
Practice address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 623-0354
Mailing address
200 HYGEIA DR, NEWARK, DE 19713-2049
(302) 623-0354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10006859
DE
208000000X
Pediatrics Physician
C10006859
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092673
—
NJ
05
—
101553340
—
PA
05
—
409922200
—
MD
01
—
CD0294
MEDICARE RAILROAD GROUP
DE
Enumeration date
10/12/2006
Last updated
09/19/2016
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