Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1285390989 |
---|---|
Provider Name | Tiffany Ann Danilowicz |
First Address | Berwick, PA 18603-5021 |
Second Address | Conshohocken, PA 19428-2891 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2021 |
Last Update Date | 17/11/2021 |