Taub, Daniel Ian

Taub, Daniel Ian is an individual health care provider with primary practice located at 909 Walnut Street 300 Cob, Philadelphia PA 19107-5211. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Taub, Daniel Ian can be contacted via phone (215) 955-6215.

Contact Information

Primary practice address
909 Walnut Street 300 Cob Philadelphia PA 19107-5211
Phone: (215) 955-6215
Fax: (215) 923-9189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS030442L Pennsylvania
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X MD430367 Pennsylvania

Profile Details

NPI number 1609811066
LBN Legal business name Taub, Daniel Ian
Credentials DDS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Aug 22nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609811066 NPPES
Pennsylvania MEDICAID 1011106450001

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