MEDICARE: DANIEL J. CALLAGHAN JR. MD PC

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	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	MD027567E	PA

General Provider Information

NPI Number	:	1336326834
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL J. CALLAGHAN JR. MD PC

Provider Business Mailing Address
First Line	:	3126 WILMINGTON RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3126 WILMINGTON RD
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16105-1132
Country	:	US
Telephone Number	:	724-656-5050
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL J CALLAGHAN JR.
Credential	:	M.D.
Telephone Number	:	724-656-5050

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	01/28/2008

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