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Individual

PETER ANDREW DANZIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1348 BAINBRIDGE ST, PHILADELPHIA, PA 19147-1810
(065) 221-5563
Mailing address
433 FITZGERALD ST, PHILADELPHIA, PA 19148-3912
(215) 200-7799

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PA

Other

Enumeration date
05/07/2020
Last updated
05/07/2020
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