Provider Demographics
NPI:1326168337
Name:JANSON, DALE M (PA)
Entity Type:Individual
Prefix:MR
First Name:DALE
Middle Name:M
Last Name:JANSON
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Gender:M
Credentials:PA
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Mailing Address - Street 1:STONY BROOK UNIVERSITY HOSPITAL
Mailing Address - Street 2:HSC T-18, ROOM 030
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794-8183
Mailing Address - Country:US
Mailing Address - Phone:631-444-3577
Mailing Address - Fax:631-444-8909
Practice Address - Street 1:STONY BROOK UNIVERSITY CANCER CTR
Practice Address - Street 2:3 EDMUND PELLEGRINO ROAD
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-8183
Practice Address - Country:US
Practice Address - Phone:631-444-3577
Practice Address - Fax:631-444-8909
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2013-08-05
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Provider Licenses
StateLicense IDTaxonomies
NY001743207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology