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Daniel J Licht, MD
Neurology with Special Qualifications in Child Neurology Physician in Philadelphia, Pennsylvania
NPI 1023032539

Daniel J Licht is a Neurology with Special Qualifications in Child Neurology Physician based in Philadelphia, PA and is specialized in Neurology with Special Qualifications in Child Neurology. Daniel J Licht practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Daniel J Licht is 1023032539 and holds a License No. MD068489L (Pennsylvania).

The current practice location address for Daniel J Licht is 3401 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 215-590-1719 and via fax at 215-590-1771.

Location: 3401 Civic Center Blvd, Philadelphia, PA, 19107-3323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023032539
Provider Name
Daniel J Licht
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3401 Civic Center Blvd, Philadelphia, PA, 19107-3323
Phone Number
215-590-1719
Fax Number
215-590-1771
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001895942 05 PA
8852804 05 NJ
institution
Provider Business Practice Location Address Details
Address
3401 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4319
Phone Number
215-590-1719
Fax Number
215-590-1771
person
Provider Business Mailing Address Details
Address
3401 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-4319
Phone Number
215-590-1719
Fax Number
215-590-1771
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
MD068489L (Pennsylvania)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
2084N0402X
License No.
MD068489L (Pennsylvania)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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