Most Relevant Information
Provider Data
| NPI Number: | 1003580358 |
| Provider Name: | DANIELLE L DUSTMAN PAC |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2021 |
| Last Updated: | 08/02/2021 |
Provider Practice Location
801 OSTRUM ST # STREET2
BETHLEHEM
PA
180151000
Practice Location Phone/Fax
| Phone: | 4845261735 |
| Fax: |
Provider Mailing Location
801 OSTRUM ST # STREET2
BETHLEHEM
PA
180151000
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |