Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | MD027567E | PA |
NPI | 1376654004 |
---|---|
Provider Name | Dr. Daniel Joseph Callaghan JR. |
First Address | New Castle, PA 16105-1132 |
Second Address | New Castle, PA 16105-1132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0009265250001 | (05) | PA |
C34139 | (02) | PA |