Tanaka, Daizo
Tanaka, Daizo is an individual health care provider with primary practice located at 111 S 11Th St , Philadelphia PA 19107-4824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Tanaka, Daizo can be contacted via phone (215) 955-6000.Contact Information
Primary practice address
111 S 11Th St
Philadelphia PA 19107-4824
Phone: (215) 955-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD447672 | Pennsylvania |
Profile Details
| NPI number | 1386984847 |
|---|---|
| LBN Legal business name | Tanaka, Daizo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2013 |
| Last updated | Oct 26th, 2015 - about 11 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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