Healthcare Provider Details

I. General information

NPI: 1801932751
Provider Name (Legal Business Name): DANIEL J CSASZAR D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2804 MARLEY LN
PHOENIXVILLE PA
19460-3081
US

IV. Provider business mailing address

2804 MARLEY LN
PHOENIXVILLE PA
19460-3081
US

V. Phone/Fax

Practice location:
  • Phone: 610-340-0075
  • Fax: 636-442-1607
Mailing address:
  • Phone: 610-340-0075
  • Fax: 636-442-1607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number25MB08984400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberOS013790
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS013790
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: