Provider Demographics
NPI:1285656124
Name:DANTE, KAREN FUNG (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:FUNG
Last Name:DANTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:L
Other - Last Name:FUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:360 STATION AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-3721
Mailing Address - Country:US
Mailing Address - Phone:856-795-6627
Mailing Address - Fax:856-795-6987
Practice Address - Street 1:73 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-2430
Practice Address - Country:US
Practice Address - Phone:609-654-6140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA53095207W00000X
PAMD036852E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology