Healthcare Provider Details

I. General information

NPI: 1427034594
Provider Name (Legal Business Name): ANNETTE MCDANIEL TURNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2005
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4417 N 6TH ST
PHILADELPHIA PA
19140-2319
US

IV. Provider business mailing address

3156 KENSINGTON AVE
PHILADELPHIA PA
19134-2400
US

V. Phone/Fax

Practice location:
  • Phone: 215-302-3600
  • Fax: 215-329-2369
Mailing address:
  • Phone: 215-831-1100
  • Fax: 215-831-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD038304E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: