MEDICARE: DANIEL JOSEPH VILE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	OS006269L	PA
2	207RC0000X	Cardiovascular Disease Physician	OS006269L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0549116000	OTHER	PA	BLUE SHIELD
3	0549116000	OTHER	PA	KEYSTONE
4	24078	OTHER	PA	HEALTH PARTNERS
5	5618455	OTHER	PA	AETNA/USHC
6	712838	OTHER	PA	BLUE SHIELD
7	0549116000	OTHER	PA	BLUE SHIELD PC
8	0549116000	OTHER	PA	AMERI HEALTH
9	060052271	OTHER	PA	TRAVELERS MC
10	1028248	OTHER	PA	KEYSTONE MERCY

General Provider Information

NPI Number	:	1215986377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL JOSEPH VILE DO

Provider Business Mailing Address
First Line	:	PO BOX 16335
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19114-0435
Country	:	US
Telephone Number	:	215-969-7510
Fax Number	:	215-969-7513

Provider Business Practice Location Address
First Line	:	8012 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-2616
Country	:	US
Telephone Number	:	215-624-1758
Fax Number	:	215-624-3153

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	07/29/2022

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