Individual
DR. LEE G DANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 BERKELEY RD, MERION STATION, PA 19066-1403
(610) 667-5448
(610) 667-8117
Mailing address
321 BERKELEY RD, MERION STATION, PA 19066-1403
(610) 667-5448
(610) 667-8117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
D29330
MD
2084P0800X
Psychiatry Physician
Primary
MD014206E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297501700
—
MD
01
—
35415502
BC BS PROVIDER #
PA
01
—
D29330
STATE LICENSE
MD
01
—
MD014206E
STATE LICENSE
PA
Enumeration date
05/07/2007
Last updated
03/07/2023
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