Provider Demographics
NPI:1942451794
Name:DANIELE, JOSEPH QUENTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:QUENTIN
Last Name:DANIELE
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 1:2922 MADEIRA DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-1730
Mailing Address - Country:US
Mailing Address - Phone:814-833-2253
Mailing Address - Fax:
Practice Address - Street 1:2922 MADEIRA DR
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-1730
Practice Address - Country:US
Practice Address - Phone:814-833-2253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD013593E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery