Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD460648 | PA |
N | 208000000X | Pediatrician | MT205894 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | MT205894 | PA |
NPI | 1073926291 |
---|---|
Provider Name | Dr. Curran Hunter Daigle |
First Address | Philadelphia, PA 19104-4399 |
Second Address | Philadelphia, PA 19104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 14/06/2018 |