Provider Demographics
NPI:1003942525
Name:DANEK, JOHN JOSEPH (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:DANEK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:87 CRAVEN DR
Mailing Address - Street 2:
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022-2507
Mailing Address - Country:US
Mailing Address - Phone:724-483-1707
Mailing Address - Fax:724-483-4703
Practice Address - Street 1:575 COAL VALLEY ROAD, SUITE 502
Practice Address - Street 2:JEFFERSON REGIONAL MEDICAL CENTER
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236
Practice Address - Country:US
Practice Address - Phone:412-469-5983
Practice Address - Fax:412-469-5946
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005635L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C31019Medicare UPIN