Provider Demographics
NPI:1871701532
Name:DANIEL O. DADA, M.D., P.C.
Entity type:Organization
Organization Name:DANIEL O. DADA, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:O
Authorized Official - Last Name:DADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-494-7666
Mailing Address - Street 1:2621 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-2115
Mailing Address - Country:US
Mailing Address - Phone:610-494-7666
Mailing Address - Fax:610-494-9025
Practice Address - Street 1:2621 W 9TH ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-2115
Practice Address - Country:US
Practice Address - Phone:610-494-7666
Practice Address - Fax:610-494-9025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030353-E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1131507OtherKEYSTONE MERCY-GROUP
PA0031509000OtherKEYSTONE EAST-INDIVIDUAL
PA0784853002OtherKEYSTONE EAST-GROUP
PA0784853000OtherPERSONAL CHOICE-GROUP
PA2360241OtherAETNA - GROUP
PA1060046OtherKEYSTONE MERCY-INDIVIDUAL
PA2360247OtherAETNA-INDIVIDUAL
PA0031509000OtherPERSONAL CHOICE-IND.
PA0092891305OtherAMERICHOICE OF PA
PA=========OtherAMERIHEALTH ADMINISTRATOR
PA2360247OtherAETNA-INDIVIDUAL
PA1060046OtherKEYSTONE MERCY-INDIVIDUAL
PA=========OtherAMERIHEALTH ADMINISTRATOR