Individual
DANIEL O HENSELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 N BROAD ST, OUTPT BLDG, 6TH FLOOR, PHILADELPHIA, PA 19140-5103
(215) 952-0792
(215) 952-0794
Mailing address
2230 S BROAD ST, PHILADELPHIA, PA 19145-3950
(215) 952-0792
(215) 952-0794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD016070E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006697690004
—
PA
Enumeration date
05/25/2006
Last updated
07/08/2007
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