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Individual

DANIELA H DAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
34TH STREET & CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104
(215) 590-1858
(215) 590-3934
Mailing address
100 E PENN SQ, THE WANAMAKER BUILDING, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD065313L
PA
208000000X
Pediatrics Physician
MD065313L
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD065313L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018123220
PA
01
040163EMD
MEDICARE PTAN
PA
Enumeration date
08/11/2006
Last updated
03/27/2013
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