Provider Demographics
NPI:1306326376
Name:BRITTON DAYSY, DAVID AUGUSTO (SA-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:AUGUSTO
Last Name:BRITTON DAYSY
Suffix:
Gender:M
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 N 34TH ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4909
Mailing Address - Country:US
Mailing Address - Phone:267-307-3073
Mailing Address - Fax:
Practice Address - Street 1:112 N 34TH ST APT 2F
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4909
Practice Address - Country:US
Practice Address - Phone:267-307-3073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-18
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA18-341246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant