Provider Demographics
NPI:1891954855
Name:HANH-NHON DAON M.D
Entity Type:Organization
Organization Name:HANH-NHON DAON M.D
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-985-2414
Mailing Address - Street 1:405 HIGHGATE DR
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-1559
Mailing Address - Country:US
Mailing Address - Phone:215-985-2414
Mailing Address - Fax:186-685-3427
Practice Address - Street 1:1430 MOORE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-2319
Practice Address - Country:US
Practice Address - Phone:215-985-2414
Practice Address - Fax:186-685-3427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA081358Medicare PIN