Provider Demographics
NPI:1659311892
Name:DANNY, MADELINE ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:ANN
Last Name:DANNY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:875 COUNTY LINE RD
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3113
Mailing Address - Country:US
Mailing Address - Phone:610-525-3332
Mailing Address - Fax:610-525-3332
Practice Address - Street 1:875 COUNTY LINE RD
Practice Address - Street 2:SUITE 109
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3113
Practice Address - Country:US
Practice Address - Phone:610-525-3332
Practice Address - Fax:610-525-3332
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006677E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE65293Medicare UPIN
PA633498Medicare ID - Type Unspecified