Individual
DR. SIDDHARTHA A DANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 ORLEANS ST RM 6349D1, BALTIMORE, MD 21287
(410) 955-2393
Mailing address
1800 ORLEANS ST RM 6349D1, BALTIMORE, MD 21287-0010
(410) 955-2393
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.139714
IL
208000000X
Pediatrics Physician
036.139714
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
D0083795
MD
208D00000X
General Practice Physician
125-060812
IL
Other
Enumeration date
06/21/2012
Last updated
09/13/2018
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