Organization
LEE G DANTE MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE GERARD DANTE MD (PRESIDENT)
(610) 667-5448
Entity
Organization
Contact information
Practice address
321 BERKELEY RD, MERION STATION, PA 19066-1403
(610) 667-5488
(610) 667-8117
Mailing address
321 BERKELEY RD, MERION STATION, PA 19066-1403
(610) 667-5488
(610) 667-8117
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD014206E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
525681000
—
MD
05
—
998300
—
PA
Enumeration date
05/07/2007
Last updated
08/13/2009
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