Basic Information
| Provider Information | |||||||||
| NPI: | 1831137819 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | THAILER | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 21 SHIRLEY TERRACE | ||||||||
| Address2: | |||||||||
| City: | KINNELON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9734932605 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2825 RANDOLPH RD | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282111018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9734928402 | ||||||||
| FaxNumber: | 8283274245 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2006 | ||||||||
| LastUpdateDate: | 08/23/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/23/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 2010-00405 | NC | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.