Provider Demographics
NPI:1073791067
Name:DANKO, DORIS JULIA (MD MA MPH)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:JULIA
Last Name:DANKO
Suffix:
Gender:F
Credentials:MD MA MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 RIVER DELL
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-2300
Mailing Address - Country:US
Mailing Address - Phone:201-337-8812
Mailing Address - Fax:
Practice Address - Street 1:1 CLARA MAASS DR
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-3550
Practice Address - Country:US
Practice Address - Phone:973-450-2175
Practice Address - Fax:973-844-4779
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 66092261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health