Basic Information
| Provider Information | |||||||||
| NPI: | 1326023557 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DAYAL | ||||||||
| FirstName: | ANJU | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 N ACADEMY AVE | ||||||||
| Address2: | |||||||||
| City: | DANVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178224903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702716144 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 620 UNIVERSITY AVE | ||||||||
| Address2: | |||||||||
| City: | SELINSGROVE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178701154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5703720536 | ||||||||
| FaxNumber: | 5703720539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2005 | ||||||||
| LastUpdateDate: | 08/19/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 210583 | MA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 249847 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 25MA08264100 | NJ | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD449425 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.