Healthcare Provider Details

I. General information

NPI: 1063438604
Provider Name (Legal Business Name): JOHN JOSEPH DANYO JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 04/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 KENNETT PIKE STE 234
WILMINGTON DE
19807-2029
US

IV. Provider business mailing address

4001 KENNETT PIKE STE 234
WILMINGTON DE
19807-2029
US

V. Phone/Fax

Practice location:
  • Phone: 302-888-0508
  • Fax: 302-888-0509
Mailing address:
  • Phone: 302-888-0508
  • Fax: 302-888-0509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberC10005578
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: