Provider Demographics
NPI:1174071575
Name:LYNCH, DANIEL (PA)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:LYNCH
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:7000 ATRIUM WAY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-3917
Mailing Address - Country:US
Mailing Address - Phone:856-206-4508
Mailing Address - Fax:
Practice Address - Street 1:147 E 3RD ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-2924
Practice Address - Country:US
Practice Address - Phone:856-234-2500
Practice Address - Fax:856-234-3907
Is Sole Proprietor?:No
Enumeration Date:2016-09-14
Last Update Date:2020-10-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant