Provider Demographics
NPI:1396096350
Name:MONAGHAN, DANIEL TIMOTHY (DC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:TIMOTHY
Last Name:MONAGHAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14416
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-0416
Mailing Address - Country:US
Mailing Address - Phone:215-432-1175
Mailing Address - Fax:
Practice Address - Street 1:1110 N GLEBE RD
Practice Address - Street 2:SUITE 1010
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-4795
Practice Address - Country:US
Practice Address - Phone:215-432-1175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-30
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557007111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor