Individual provider · Type 1 NPI

Denise M. Broll-Dalton, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1508053554 Active

Practice location

1 Crescent Dr, Suite 100
Philadelphia, PA 19112-1015

Call (215) 952-9900 Map

Fax (215) 952-9977

Mailing address

2301 S Broad St, Suite 100
Philadelphia, PA 19148-3542

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XMA001026L (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1508053554

Denise M. Broll-Dalton, PA-C's National Provider Identifier is 1508053554, issued on Oct 3, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 25, 2016.