Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1300X | Electrophysiology, Clinical | PT000349E | PA |
NPI | 1619905569 |
---|---|
Provider Name | Gary Danni |
First Address | Allentown, PA 18104-9147 |
Second Address | Allentown, PA 18104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 27/04/2018 |