# DR. DAN MARIO UDREA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104072800
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | MD440609 | PA | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD440609 | PA | Yes |

## Other

- **Enumeration date:** 08/13/2008
- **Last updated:** 08/29/2017