DENISE M. BROLL-DALTON PA-C
NPI 1508053554
Physician Assistant - Medical in Philadelphia, PA

Q: What is Denise Broll-dalton's NPI number?

The NPI number for Denise Broll-dalton is 1508053554. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Q: What is Denise Broll-dalton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since October 03, 2007

1 CRESCENT DR, SUITE 100, PHILADELPHIA, PA 19112(215) 952-9900(215) 952-9977 Get Directions Write a Review

NPPES record last updated: March 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Denise M. Broll-dalton Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENISE M. BROLL-DALTON PA-C (NPI 1508053554) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA001026L) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1508053554

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDENISE M. BROLL-DALTONCredential: PA-C

Location Address1 CRESCENT DR, SUITE 100Philadelphia, PA 19112-1015

Mailing Address2301 S Broad St, Suite 100Philadelphia, PA 19148-3542 · (215) 952-9900 · Fax (215) 952-9977

Phone(215) 952-9900

Fax(215) 952-9977

Sole ProprietorYes

Enumeration DateOctober 3, 2007

Last NPPES UpdateMarch 25, 2016

✔ NPI 1508053554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA001026L

1 CRESCENT DR, Philadelphia, PA 19112

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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHEL DICKINSON PA-C

Physician Assistant (Medical)

1 CRESCENT DR, SUITE 100
PHILADELPHIA, PA 19112

Philadelphia County (215) 952-9900

DR. FRANCIS S MATARAZZO D.D.S.

Dentist

1 CRESCENT DR, SUITE 300
PHILADELPHIA, PA 19112

Philadelphia County (484) 645-1648

MIRANDA BYRON OTR/L

Occupational Therapist

1 CRESCENT DR
PHILADELPHIA, PA 19112

Philadelphia County (267) 546-2980

DR. ANITA MARIE MILICI D.M.D.

Dentist (Periodontics)

1 CRESCENT DR, SUITE 300
PHILADELPHIA, PA 19112

Philadelphia County (215) 389-3161

FRANCIS S MATARAZZO DDS PC

Dentist

1 CRESCENT DR, STE 300
PHILADELPHIA, PA 19112

Philadelphia County (215) 389-3161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denise Broll-dalton's NPI number?

The NPI number for Denise Broll-dalton is 1508053554. It was assigned to this individual provider in the NPPES registry on October 3, 2007.

Where is Denise Broll-dalton located?

Denise Broll-dalton practices at 1 Crescent Dr Suite 100, Philadelphia, PA 19112. The listed phone number is (215) 952-9900.

What is Denise Broll-dalton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Denise Broll-dalton was last updated on March 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.