Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 125059123 | IL |
N | 207X00000X | Orthopaedic Surgeon | Q8058 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD462685 | PA |
NPI | 1265727283 |
---|---|
Provider Name | Daniel Fuchs |
First Address | Philadelphia, PA 19107-4414 |
Second Address | Willow Grove, PA 19090 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2011 |
Last Update Date | 04/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
125059123 | ILLINOIS MEDICAL LICENSE (01) | IL |