Provider Demographics
NPI:1942511225
Name:STANTON A BREE D O P C
Entity type:Organization
Organization Name:STANTON A BREE D O P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STANTON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BREE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-594-9101
Mailing Address - Street 1:PO BOX 323
Mailing Address - Street 2:
Mailing Address - City:LIONVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19353-0323
Mailing Address - Country:US
Mailing Address - Phone:610-594-9101
Mailing Address - Fax:610-594-9104
Practice Address - Street 1:319 N POTTSTOWN PIKE
Practice Address - Street 2:SUITE 205
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2218
Practice Address - Country:US
Practice Address - Phone:610-594-9101
Practice Address - Fax:610-594-9104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-006064-E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0111343000OtherKEYSTONE EAST
PA1031616OtherKEYSTONE MERCY
PA68831OtherAETNA
PA1031616OtherKEYSTONE MERCY