Provider Demographics
NPI:1396714978
Name:BARTOLOMEO, DANIEL (PA C)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:BARTOLOMEO
Suffix:
Gender:M
Credentials:PA C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:833 CHESTNUT ST STE 520
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4430
Mailing Address - Country:US
Mailing Address - Phone:800-321-9999
Mailing Address - Fax:267-479-1321
Practice Address - Street 1:999 ROUTE 73 N STE 401
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-1227
Practice Address - Country:US
Practice Address - Phone:800-321-9999
Practice Address - Fax:267-479-1321
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2025-06-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00081000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant