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Organization

DUDDY CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT THOMAS DUDDY D.C. (OWNER)
(610) 253-5332
Entity
Organization

Contact information

Practice address
301 S 22ND ST, EASTON, PA 18042-3811
(610) 253-5332
(610) 253-5975
Mailing address
301 S 22ND ST, EASTON, PA 18042-3811
(610) 253-5332
(610) 253-5975

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC004349L
PA
111N00000X
Chiropractor
Primary
DC007108L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0282107000
AMERIHEALTH IBX
PA
01
02870600
CAPITAL BLUE CROSS
PA
01
110363
AETNA
PA
01
607153
ACN GROUP
PA
01
901579
MEDICARE PTAN
PA
01
DU712460
HIGHMARK
PA
Enumeration date
12/01/2006
Last updated
04/22/2015
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