Individual
DANIELLE BOAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD015197E
PA
2085P0229X
Pediatric Radiology Physician
MD015197E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006671650001
—
PA
Enumeration date
05/01/2006
Last updated
09/18/2009
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