=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538989785
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PA MEN'S HEALTHCARE, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2024
-----------------------------------------------------
Last Update Date | 06/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2804 MARLEY LN
-----------------------------------------------------
City | PHOENIXVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19460-3081
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-340-0075
-----------------------------------------------------
Fax | 636-442-1607
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2804 MARLEY LN
-----------------------------------------------------
City | PHOENIXVILLE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19460-3081
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-340-0075
-----------------------------------------------------
Fax | 636-442-1607
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. DANIEL J. CSASZAR
-----------------------------------------------------
Credential | DO
-----------------------------------------------------
Telephone | 610-340-0075
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------