| Doctor Name: | DR. DARA DANE |
| NPI Number: | 1023378916 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | D33269 |
| Business Practice Address: | 7131 Liberty Rd Suite 203 Baltimore, MD - 212074575 |
| Business Phone Number: | 4102981515 |
| Business Fax Number: | 4102989780 |
| Mailing Address: | 4720 Dorsey Hall Dr, Suite 602 ELLICOTT CITY |
| State: | MD |
| Postal Code: | 210425992 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2012 |
| NPI Last Update Date: | 05/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D33269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |