Dale, Elizabeth A

Dale, Elizabeth A is an individual health care provider with primary practice located at 100 Presidential Blvd Ste 200 , Bala Cynwyd PA 19004-1108. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Dale, Elizabeth A can be contacted via phone (484) 434-2700.

Contact Information

Primary practice address
100 Presidential Blvd Ste 200 Bala Cynwyd PA 19004-1108
Fax: (484) 434-2793
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA09688200 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME119151 Florida
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 25MA09688200 New Jersey
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X MD454366 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD454366 Pennsylvania

Profile Details

NPI number 1811218332
LBN Legal business name Dale, Elizabeth A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2010
Last updated Nov 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811218332 NPPES
New Jersey MEDICAID 0469068

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