Provider Demographics
NPI:1619026424
Name:DANIEL A DAURIA, MD PA
Entity Type:Organization
Organization Name:DANIEL A DAURIA, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAURIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-237-8045
Mailing Address - Street 1:485 WILLIAMSTOWN RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-1777
Mailing Address - Country:US
Mailing Address - Phone:856-237-8045
Mailing Address - Fax:
Practice Address - Street 1:485 WILLIAMSTOWN RD
Practice Address - Street 2:SUITE J
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-1777
Practice Address - Country:US
Practice Address - Phone:856-237-8045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04843100207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty