Individual
ELIZABETH A DALE
Active
Individual
ELIZABETH A DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA09688200
NJ
207W00000X
Ophthalmology Physician
Primary
MD454366
PA
207W00000X
Ophthalmology Physician
ME119151
FL
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
25MA09688200
NJ
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD454366
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469068
—
NJ
Enumeration date
06/18/2010
Last updated
11/03/2020
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