Provider Demographics
NPI:1538251541
Name:BREE, STANTON A (DO)
Entity type:Individual
Prefix:DR
First Name:STANTON
Middle Name:A
Last Name:BREE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:601-594-9104
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
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-006064E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031616OtherKEYSTONE MERCY
PA68831OtherAETNA
PA0111343000OtherKEYSTONE EAST
PA0111343000OtherKEYSTONE EAST
PABR519307Medicare ID - Type Unspecified