Basic Information
Provider Information
NPI: 1417617424
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DOLCI
FirstName: DANIELLE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11 E CHESTNUT ST
Address2:  
City: BORDENTOWN
State: NJ
PostalCode: 085052023
CountryCode: US
TelephoneNumber: 6092842017
FaxNumber:  
Practice Location
Address1: 900 WALNUT ST
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191075191
CountryCode: US
TelephoneNumber: 2159556000
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/19/2021
LastUpdateDate: 12/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LC0200XSP024755PAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine

No ID Information.


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