Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Daniel Raymond Ezzo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790365625

Dr. Daniel Raymond Ezzo, MD is a Psychiatry in Philadelphia, Pennsylvania. Graduated from Perelman School of Med at the University of Pennsylvania in 2021, 5 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
PA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Philadelphia, PA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 — (888) 227-3898

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD486725 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (PA)

Record details

NPI number1790365625
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2021
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2021 (5 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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