| Organization Name: | DANIEL JALLER, M.D., PC |
| NPI Number: | 1548671241 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL A JALLER (PRESIDENT) |
| Mailing Address: | 15245 Shady Grove Rd Suite 315 Rockville |
| State: | MD US |
| Postal Code: | 208503222 |
| Phone Number: | 3015287111 |
| Fax Number: | 3015285824 |
| NPI Enumeration Date: | 05/15/2014 |
| NPI Last Update Date: | 05/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | D0033138 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |