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Individual

DANIEL O. DADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
230 E 24TH ST, CHESTER, PA 19013-4634
(610) 874-6553
(610) 874-6653
Mailing address
1120 BELVEDERE RD, BOOTHWYN, PA 19061-1523
(610) 358-0588

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD030353-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0031509001
KEYSTONE HEALTH PLAN EAST
PA
05
009289130004
PA
01
10008
KEYSTONE MERCY HEALTH
PA
Enumeration date
02/16/2007
Last updated
07/09/2007
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