Individual
DANIEL JOHN LODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2494 BERNVILLE RD STE 201, READING, PA 19605-9468
(610) 378-2676
Mailing address
2494 BERNVILLE RD STE 201, READING, PA 19605-9468
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD476320
PA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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