Daniel Scott Ice M.D.

NPI 1669633004 - Internal Medicine - 207RC0000X

NPI Details
NPI 1669633004
Gender Male
Enumeration Date 06/18/2008
Last Updated 08/06/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
1088 W BALTIMORE PIKE
SUITE 2500 RIDDLE HEALTH CARE CENTER II
MEDIA PA, 19063-5146, US
Phone (502) 551-3836
Fax
Business Location
6100 CITY AVE APT 1515
PHILADELPHIA PA, 19131-1279, US
Phone (502) 551-3836
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Pennsylvania
License Number MD444629
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According to our database, Dr. Daniel Scott Ice M.D. NPI is 1669633004, taxonomy code is 207RC0000X and license number is MD444629, license state is located at Pennsylvania. Daniel Scott Ice M.D. physically located at 1088 W Baltimore Pike, Media PA, 19063-5146. NPI Number Daniel Scott Ice M.D. has the Individual type.

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1669633004 NPI number is provided on an as is basis without warranty of any kind. 1669633004 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Scott Ice M.D. are for informational purposes only.