Individual
DARYL C WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9150 MARSHALL ST STE 2, PHILADELPHIA, PA 19114-2217
(215) 464-4450
(215) 464-0445
Mailing address
9150 MARSHALL ST STE 2, PHILADELPHIA, PA 19114-2217
(215) 464-4450
(215) 464-0445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD050257L
PA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MD050257L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD050257L
MEDICAL LISCENSE NUMBER
PA
Enumeration date
07/19/2006
Last updated
07/18/2022
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