Basic Information
| Provider Information | |||||||||
| NPI: | 1538320783 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MAHLAB | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 WELSH RD BLDG 2 | ||||||||
| Address2: | HORSHAM BUSINESS CENTER | ||||||||
| City: | HORSHAM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190442248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156578430 | ||||||||
| FaxNumber: | 2156578439 | ||||||||
| Practice Location | |||||||||
| Address1: | 300 WELSH RD BLDG 2 | ||||||||
| Address2: | HORSHAM BUSINESS CENTER | ||||||||
| City: | HORSHAM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190442248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156578430 | ||||||||
| FaxNumber: | 2156578439 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2008 | ||||||||
| LastUpdateDate: | 09/15/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 25MB09085900 | NJ | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | OS015686 | PA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.