Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD442054 | PA |
NPI | 1104952134 |
---|---|
Provider Name | Danielle Elise Durie |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6122 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 15/11/2019 |