Mr John A Daller, MD, PHD is a
Surgery physician based in Upland, Pennsylvania. Mr John A Daller is licensed to practice in Pennsylvania (license number MD058852L) and his current practice location is 30 Medical Center Blvd, Suite 200, Upland, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(610) 619-8420.
NPI number for Mr John A Daller is 1831294578 and his current mailing address is 30 Medical Center Blvd, Suite 200, Upland, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1831294578.
Physician's Profile
Full Name | Mr John A Daller |
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Gender | Male |
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Speciality | Surgery |
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Location | 30 Medical Center Blvd, Upland, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831294578
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 02/06/2013
Medical Identifiers
Medical identifiers for Mr John A Daller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831294578 | NPI | - | NPPES |
1017210240001 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | MD058852L (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John A Daller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr John A Daller, MD, PHD 30 Medical Center Blvd, Suite 200, Upland, PA 19013 Ph: (610) 619-8420 | Mr John A Daller, MD, PHD 30 Medical Center Blvd, Suite 200, Upland, PA 19013 Ph: (610) 619-8420 |
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