Individual
DR. DAVID EDWARD DUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 S FRONT ST, INTERNAL MEDICINE RESIDENCY PROGRAM, BRADY HALL 3, HARRISBURG, PA 17101-2010
(717) 782-3131
Mailing address
2311 N FRONT ST, APT 218, HARRISBURG, PA 17110-1059
(267) 496-1042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT190555
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT190555
MEDICAL TRAINING NUMBER
PA
Enumeration date
07/30/2007
Last updated
07/30/2007
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