Individual
ANDREW D DAYNEKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19106-3505
(215) 955-1730
(215) 955-8592
Mailing address
2422 S. BROAD STREET, 2ND FLOOR, PHILADELPHIA, PA 19145-4418
(215) 952-9100
(215) 463-3125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35077465D
OH
207Q00000X
Family Medicine Physician
Primary
MD453611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203127
—
OH
Enumeration date
08/18/2006
Last updated
12/19/2018
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