MEDICARE: CAROLINE DANIELS

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	207Q00000X	Family Medicine Physician	OS017429	PA

General Provider Information

NPI Number	:	1730445651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE DANIELS

Provider Business Mailing Address
First Line	:	2 HOT METAL ST
Second Line	:	QUANTUM ONE, SUITE 001
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-2348
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2008 W STATE ST
Second Line	:
City	:	NEW CASTLE
State	:	PA
Zip	:	16101-1248
Country	:	US
Telephone Number	:	724-548-6260
Fax Number	:

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

Provider Enumeration Date	:	04/04/2012
Last Update Date	:	03/25/2021

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Directions to “ CAROLINE DANIELS ” Practice Location

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