Individual
DR. DAN LAWRENCE TOLENTINO DOMETITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
OS017534
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2012
Last updated
08/13/2020
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