Individual
DR. BRUNO FELIPE DANTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-2147
Mailing address
417 STATE STREET, WEBBER WEST BLDG, SUITE 541, BANGOR, ME 04401
(207) 941-8200
(207) 990-4846
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
018126
ME
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
LL 26947
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT192410
PA
Other
Enumeration date
10/24/2006
Last updated
02/22/2011
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