| Daniel Jo, | |
|
255 W Lancaster Ave Ste 332, Paoli, PA 19301-1766 | |
| (610) 647-3077 | |
| Not Available |
| Full Name | Daniel Jo |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 255 W Lancaster Ave Ste 332, Paoli, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033616842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OS020824 (Pennsylvania) | Primary |
| Entity Name | Main Line Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922077643 PECOS PAC ID: 1951215201 Enrollment ID: O20040308000373 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Jo, 152 Mahogany Ln, King Of Prussia, PA 19406-2169 Ph: (240) 449-9964 | Daniel Jo, 255 W Lancaster Ave Ste 332, Paoli, PA 19301-1766 Ph: (610) 647-3077 |
Dr. David Guy Reel Ii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave Ste 332, Paoli, PA 19301 Phone: 610-641-9011 | |
Timothy T Fox, MD Surgery Medicare: Medicare Enrolled Practice Location: 255 W Lancaster Ave, Mob Iii, Suite 332, Paoli, PA 19301 Phone: 610-647-3077 Fax: 610-993-0668 | |
Robert C Fried, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave, Mob Iii Suite 332, Paoli, PA 19301 Phone: 610-647-3077 Fax: 610-993-0668 | |
Dr. Edward Anthony Romero, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave Ste 332, Paoli, PA 19301 Phone: 610-647-3077 Fax: 610-993-0668 | |
Scott A Kripke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave Ste 332, Paoli, PA 19301 Phone: 610-647-3077 Fax: 610-993-0668 | |
Susan Jennifer Sees, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 W Lancaster Ave Ste 332, Paoli, PA 19301 Phone: 610-641-9011 |