Doctor Name: | ELIZABETH DIANE DAUER |
NPI Number: | 1003038761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | |
Business Practice Address: | 3401 N Broad St Philadelphia, PA - 191405103 |
Business Phone Number: | 2157073133 |
Business Fax Number: | 2157073945 |
Mailing Address: | 2450 W Hunting Park Ave, 3rd Floor PHILADELPHIA |
State: | PA |
Postal Code: | 191291302 |
Phone Number: | 2157072433 |
Fax Number: | 2157073677 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |