Provider Demographics
NPI:1679865513
Name:WERT, DANIEL DAVID (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:DAVID
Last Name:WERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WINTERBERRY CT
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7401
Mailing Address - Country:US
Mailing Address - Phone:717-295-9924
Mailing Address - Fax:717-295-9924
Practice Address - Street 1:129 WINTERBERRY CT
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7401
Practice Address - Country:US
Practice Address - Phone:717-295-9924
Practice Address - Fax:717-295-9924
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003901L202K00000X, 207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No202K00000XAllopathic & Osteopathic PhysiciansPhlebology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AW8190996OtherDEA
PAE02347Medicare UPIN