Healthcare Provider Details

I. General information

NPI: 1376953018
Provider Name (Legal Business Name): DANIEL HOWARD TAUPIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2014
Last Update Date: 06/04/2024
Certification Date: 01/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 CHESTNUT ST FL 11
PHILADELPHIA PA
19107-3612
US

IV. Provider business mailing address

1101 CHESTNUT ST FL 11
PHILADELPHIA PA
19107-3612
US

V. Phone/Fax

Practice location:
  • Phone: 215-955-7785
  • Fax: 215-955-9362
Mailing address:
  • Phone: 215-955-7785
  • Fax: 215-955-9362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number25MA12065500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number477472
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: