Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | OS013686 | PA |
Y | 207QS0010X | Family Doctor - Sports Medicine | OS013686 | PA |
N | 207QS0010X | Family Doctor - Sports Medicine | OT010558 | PA |
NPI | 1013130020 |
---|---|
Provider Name | Dr. Daniel Joseph Morrissy III |
First Address | Philadelphia, PA 19104-4319 |
Second Address | Philadelphia, PA 19104-4319 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 30/06/2016 |