Provider Demographics
NPI:1790918803
Name:DANLEY, JOSHUA EZERIAH (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:EZERIAH
Last Name:DANLEY
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 1:1088 W BALTIMORE PIKE STE 2202
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5136
Mailing Address - Country:US
Mailing Address - Phone:484-442-8235
Mailing Address - Fax:484-443-8039
Practice Address - Street 1:1088 W BALTIMORE PIKE STE 2202
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5136
Practice Address - Country:US
Practice Address - Phone:484-442-8235
Practice Address - Fax:484-443-8039
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT012890207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine