Provider Demographics
NPI:1306920749
Name:MEYER, DANIEL K (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:K
Last Name:MEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 MARKET ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-746-3535
Mailing Address - Fax:856-757-7803
Practice Address - Street 1:1627 CHEW ST FL 3
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18102-3648
Practice Address - Country:US
Practice Address - Phone:610-969-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD057352L207RI0200X, 207RI0200X
NJMA70981207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
1120469OtherHORIZON NJ HEALTH
045937OtherOXFORD
3K6107OtherHEALTHNET
547427OtherAMERIHEALTH PPO
NJ8297606Medicaid
26766OtherUNIVERSITY HEALTHPLAN
0740388000OtherAMERIHEALTH HMO, KEYSTONE, IBC
4075902OtherCIGNA
010003727OtherAMERICHOICE
1995246OtherUNITED HEALTHCARE
2424709OtherAETNA
440003062OtherRR MEDICARE
NJ045937Medicare PIN
0740388000OtherAMERIHEALTH HMO, KEYSTONE, IBC