Individual
DANIEL J ELLIOTT
Active
Individual
DANIEL J ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MSCE
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
Update your record
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