Provider Demographics
NPI:1144437476
Name:SHURMAN, DANIEL L (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:SHURMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:258 BEN FRANKLIN HWY E
Mailing Address - Street 2:
Mailing Address - City:BIRDSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19508-8772
Mailing Address - Country:US
Mailing Address - Phone:610-288-2908
Mailing Address - Fax:610-898-4832
Practice Address - Street 1:2128 PENN AVENUE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:WEST LAWN
Practice Address - State:PA
Practice Address - Zip Code:19609-1600
Practice Address - Country:US
Practice Address - Phone:610-288-2908
Practice Address - Fax:610-898-4832
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD434020207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA128752V4BMedicare PIN
PA128752YG9CMedicare PIN
PA128752V4CMedicare PIN