Individual
DANIEL TANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(800) 836-7536
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OT024326
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2025
Last updated
06/12/2026
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