Individual
MAURICE NIGEL DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3348
(215) 848-9000
Mailing address
130 BRANCHWOOD DR, DEPTFORD, NJ 08096-6682
(215) 888-2246
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD032474E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00557080000
KEYSTONE HEALTH PLAN EAST
PA
Enumeration date
07/22/2006
Last updated
05/16/2016
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