Individual
DR. DANIEL JOHN DUDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
239 S MOUNTAIN BLVD, SUITE 100, MOUNTAIN TOP, PA 18707-1911
(570) 474-9300
(570) 474-0962
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD438396
PA
Other
Enumeration date
08/05/2006
Last updated
11/24/2021
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