Individual ProviderDaniel James DymondPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3400 Spruce St, 4 Silverstein Building, Philadelphia, PA 19104-4206(215) 662-2050PECOS EnrollmentBased on the most recent information from CMS, provider Daniel James Dymond does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1538254529Provider TypeIndividualFull NameDymond, Daniel JamesCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date10/4/2006Last Updated2/14/2014Contact InformationPractice LocationPractice Address3400 Spruce St, 4 Silverstein Building, Philadelphia, PA 19104-4206Phone(215) 662-2050FaxUnlisted FaxMailing LocationMailing Address3400 Spruce St, 4 Silverstein Building, Philadelphia, PA 19104-4206Phone(215) 662-2050FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA052684Pennsylvania