Individual
DANIEL J MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 COTTMAN AVE - BLDG B STE 101, PHILADELPHIA, PA 19111
(215) 745-4100
(215) 745-9565
Mailing address
207 N BROAD ST, 3RD FLR., PHILADELPHIA, PA 19107-1500
(215) 745-4100
(215) 745-9565
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS005795L
PA
207RI0011X
Interventional Cardiology Physician
OS005795L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001065420
—
PA
Enumeration date
02/14/2006
Last updated
07/13/2023
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