MEDICARE: DR. DANIEL J. FLETCHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	25MA06444100	NJ
2	207X00000X	Orthopaedic Surgery Physician	MD442012	PA
3	207XS0106X	Orthopaedic Hand Surgery Physician	ME153026	FL
4	207XS0106X	Orthopaedic Hand Surgery Physician	25MA64441	NJ
5	207XS0106X	Orthopaedic Hand Surgery Physician	MD442012	PA
6	207XS0106X	Orthopaedic Hand Surgery Physician	25MA06444100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558339564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL J. FLETCHER

Provider Business Mailing Address
First Line	:	833 CHESTNUT ST STE 520
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4430
Country	:	US
Telephone Number	:	800-321-9999
Fax Number	:	267-479-1321

Provider Business Practice Location Address
First Line	:	1079 WHITE HORSE MERCERVILLE RD
Second Line	:
City	:	HAMILTON
State	:	NJ
Zip	:	08610-1424
Country	:	US
Telephone Number	:	267-339-3558
Fax Number	:	267-339-3763

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2006
Last Update Date	:	03/14/2022

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