Provider Demographics
NPI:1578069472
Name:PALACIO, DANICA (MD)
Entity type:Individual
Prefix:
First Name:DANICA
Middle Name:
Last Name:PALACIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4238
Mailing Address - Country:US
Mailing Address - Phone:215-662-6932
Mailing Address - Fax:215-662-7899
Practice Address - Street 1:3801 FILBERT ST.
Practice Address - Street 2:MEDICAL ARTS BUILDING, 1ST FL.
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:215-662-9908
Practice Address - Fax:215-243-4658
Is Sole Proprietor?:No
Enumeration Date:2018-04-01
Last Update Date:2024-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD485631207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease