Daniel J Lodge, PA-C
Physician Assistant in Princeton, New Jersey
1366990020- Practice location
- 325 Princeton Ave, Princeton, NJ 08540-1617
- Phone
- 856-296-9445
- Fax
- —
- Last updated
- October 2, 2019
Daniel James Lodge is a Physician Assistant based in Princeton, NJ. Daniel James Lodge practices in Princeton, NJ and has the professional credentials of PA-C. The NPI Number for Daniel James Lodge is 1366990020 and holds a License No. 25MP00408800 (NJ). The current practice location address for Daniel James Lodge is 325 Princeton Ave, Princeton, NJ 08540-1617 and can be reached out via phone at 856-296-9445.
Provider Profile Details
- NPI Number
- 1366990020
- Provider Name
- Daniel James Lodge
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 325 Princeton Ave, Princeton, NJ 08540-1617
- Phone Number
- 856-296-9445
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 12, 2016
- Last Update Date
- October 2, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 325 Princeton Ave
Princeton, NJ 08540-1617 - City
- Princeton
- State
- New Jersey
- Zip
- 08540-1617
- Phone Number
- 856-296-9445
Provider Business Mailing Address Details
- Address
- 325 Princeton Ave
Princeton, NJ 08540-1617 - City
- Princeton
- State
- NJ
- Zip
- 08540-1617
- Phone Number
- 609-924-8131
- Fax Number
- 609-924-8532
License Information
- License Number
- 25MP00408800
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Daniel J Lodge, PA-C?
The NPI number of Daniel J Lodge, PA-C is 1366990020. It was assigned on September 12, 2016 and is currently active in the NPPES registry.
What is the specialty of Daniel J Lodge, PA-C?
Daniel J Lodge, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00408800.
Where does Daniel J Lodge, PA-C practice?
The practice location is 325 Princeton Ave, Princeton, NJ 08540-1617. The office can be reached at 856-296-9445 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366990020 directly on the NPPES registry website.