Active NPIIndividual provider

Elizabeth A Dale, MD

Ophthalmology in Bala Cynwyd, Pennsylvania

NPI Number1811218332
Practice location
100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004-1108
Fax
484-434-2793
Last updated
November 3, 2020

Elizabeth A Dale is an Ophthalmology based in Bala Cynwyd, PA. Elizabeth A Dale practices in Bala Cynwyd, PA and has the professional credentials of MD. The NPI Number for Elizabeth A Dale is 1811218332 and holds a License No. 25MA09688200 (NJ). The current practice location address for Elizabeth A Dale is 100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004-1108 and can be reached out via phone at 484-434-2700 and via fax at 484-434-2793.

Provider Profile Details

NPI Number
1811218332
Provider Name
Elizabeth A Dale
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004-1108
Phone Number
484-434-2700
Fax Number
484-434-2793
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
No
Provider Enumeration Date
June 18, 2010
Last Update Date
November 3, 2020
Certification Date
November 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Presidential Blvd Ste 200
Bala Cynwyd, PA 19004-1108
Zip
19004-1108
Phone Number
484-434-2700
Fax Number
484-434-2793
Bala Cynwyd, PA 19004Get directions →

Provider Business Mailing Address Details

Address
100 Presidential Blvd
Suite 200
Bala Cynwyd, PA 19004-1108
City
Bala Cynwyd
State
PA
Zip
19004-1108
Phone Number
484-434-2700
Fax Number
484-434-2793

License Information

License Number (1)
25MA09688200
License State (1)
NJ
Taxonomy (1)
Ophthalmology · 207W00000X
License Number (2)
ME119151
License State (2)
FL
Taxonomy (2)
Ophthalmology · 207W00000X
License Number (3)
25MA09688200
License State (3)
NJ
Taxonomy (3)
Ophthalmology, Glaucoma Specialist · 207WX0009X
License Number (4)
MD454366
License State (4)
PA
Taxonomy (4)
Ophthalmology, Glaucoma Specialist · 207WX0009X
License Number (5)
MD454366
License State (5)
PA
Taxonomy (5)
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elizabeth A Dale, MD?

The NPI number of Elizabeth A Dale, MD is 1811218332. It was assigned on June 18, 2010 and is currently active in the NPPES registry.

What is the specialty of Elizabeth A Dale, MD?

Elizabeth A Dale, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MA09688200.

Where does Elizabeth A Dale, MD practice?

The practice location is 100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004-1108. The office can be reached at 484-434-2700 (phone) or 484-434-2793 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811218332 directly on the NPPES registry website.

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