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Individual

MS. DOLORES A DUVAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
501 S 54TH ST, SUITE 196, PHILADELPHIA, PA 19143-1900
(215) 748-9707
(215) 748-9708
Mailing address
1 W ELM ST, 2ND FLOOR, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170

Taxonomy

Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
Primary
RN222707L
PA
163WC2100X
Continence Care Registered Nurse
SP005814
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1567867
BLUE SHIELD
PA
01
4603990001
CIGNA
PA
Enumeration date
08/29/2006
Last updated
05/08/2008
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