Healthcare Provider Details

I. General information

NPI: 1871594978
Provider Name (Legal Business Name): DANIEL J. PARENTI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 03/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4190 CITY AVE SUITE 315
PHILADELPHIA PA
19131-1626
US

IV. Provider business mailing address

4190 CITY AVE SUITE 315
PHILADELPHIA PA
19131-1626
US

V. Phone/Fax

Practice location:
  • Phone: 215-871-6337
  • Fax: 215-871-6347
Mailing address:
  • Phone: 215-871-6337
  • Fax: 215-871-6347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS006616L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MB05351000
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MB05351000
License Number StateNJ
# 4
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberOS006616L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberOS006616L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: