Provider Demographics
NPI:1891846614
Name:ORR, DANIEL G (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:G
Last Name:ORR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 DUNSINANE HL
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-1310
Mailing Address - Country:US
Mailing Address - Phone:610-458-8881
Mailing Address - Fax:
Practice Address - Street 1:134 POTTSTOWN PIKE
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-9516
Practice Address - Country:US
Practice Address - Phone:610-458-8881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD031765E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4088967OtherAETNA
PA610342OtherINDEPENDENCE BLUE CROSS
PA610342OtherHIGHMARK BLUE SHIELD
PA610342OtherINDEPENDENCE BLUE CROSS
PA088543Medicare ID - Type Unspecified