Provider Demographics
NPI:1174824064
Name:MALIK, DANIELLE ELYSE
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ELYSE
Last Name:MALIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:392 PRESTON RD
Mailing Address - Street 2:
Mailing Address - City:WERNERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19565-9412
Mailing Address - Country:US
Mailing Address - Phone:610-507-9863
Mailing Address - Fax:
Practice Address - Street 1:392 PRESTON RD
Practice Address - Street 2:
Practice Address - City:WERNERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19565-9412
Practice Address - Country:US
Practice Address - Phone:610-507-9863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife