Provider Demographics
NPI:1275583403
Name:LITOVSKY, DANIEL ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:ALBERT
Last Name:LITOVSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:240 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-750-2300
Practice Address - Fax:215-750-2315
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD032494E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0022100000OtherKEYSTONE IBC
PA4403703OtherAETNA
PA5635869OtherCIGNA PA
PAP012604OtherGATEWAY
PA419428OtherHIGHMARK BLUE SHIELD
PA0010822610005Medicaid
PAP01193473OtherRAILROAD MEDICARE
PA30214742OtherKEYSTONE FIRST
PAP012604OtherGATEWAY
PA5635869OtherCIGNA PA