Provider Demographics
NPI:1700184264
Name:NEMER, DANIEL D (MAC, LOM, DIPLOM)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:D
Last Name:NEMER
Suffix:
Gender:M
Credentials:MAC, LOM, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W SHARPNACK ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-4033
Mailing Address - Country:US
Mailing Address - Phone:215-900-6850
Mailing Address - Fax:
Practice Address - Street 1:270 W WALNUT LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-3204
Practice Address - Country:US
Practice Address - Phone:215-900-6850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-08
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOM 000142171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist