Southren, Daniel L

Southren, Daniel L is an individual health care provider with primary practice located at 3400 Spruce St , Philadelphia PA 19104-4238. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Southren, Daniel L can be contacted via phone (215) 893-7246.

Contact Information

Primary practice address
3400 Spruce St Philadelphia PA 19104-4238
Fax: (215) 893-7270
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD469916 Pennsylvania
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 278076 Massachusetts

Profile Details

NPI number 1144600073
LBN Legal business name Southren, Daniel L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2015
Last updated Dec 8th, 2025 - about last year

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 1144600073 NPPES
Massachusetts MEDICAID 110152585A

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