Healthcare Provider Details

I. General information

NPI: 1154538890
Provider Name (Legal Business Name): DONNA MARIE DALAHAN RRT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 KINGS HWY N
CHERRY HILL NJ
08034-1513
US

IV. Provider business mailing address

830 CHESTNUT ST
COLLINGDALE PA
19023-3502
US

V. Phone/Fax

Practice location:
  • Phone: 800-670-3893
  • Fax: 800-905-4690
Mailing address:
  • Phone: 610-583-9494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberYM004024L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: