Provider Demographics
NPI:1558895888
Name:DMD ENDEAVORS
Entity Type:Organization
Organization Name:DMD ENDEAVORS
Other - Org Name:PHILADELPHIA CENTER FOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:DANISH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-749-0090
Mailing Address - Street 1:111 FORREST AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072
Mailing Address - Country:US
Mailing Address - Phone:215-749-0090
Mailing Address - Fax:
Practice Address - Street 1:111 FORREST AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072
Practice Address - Country:US
Practice Address - Phone:215-588-1260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 4380142084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty