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Individual

DR. DANIEL JOSEPH PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
570 1ST AVE, NEW YORK, NY 10016-6512
(929) 455-6409
Mailing address
4105 33RD ST, MOUNT RAINIER, MD 20712-1947
(971) 207-7960

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101265199
VA
207P00000X
Emergency Medicine Physician
01080816B
IN
207P00000X
Emergency Medicine Physician
28376
WV
207P00000X
Emergency Medicine Physician
Primary
313337
NY
207P00000X
Emergency Medicine Physician
MD-45391
IA

Other

Enumeration date
06/26/2013
Last updated
01/10/2022
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