Individual
DR. ALFRED ELON DENIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2152
(570) 271-6416
(570) 214-2924
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
0101040911
VA
207RR0500X
Rheumatology Physician
Primary
MD027521E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006097405
—
VA
01
—
0585010001
DME
VA
01
—
110141885
RAILROAD MEDICARE
VA
Enumeration date
11/07/2005
Last updated
08/21/2020
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