Individual
JEFFREY DUTTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
96 SOFIA DR, SHREWSBURY, PA 17361-5201
(717) 942-2049
Mailing address
96 SOFIA DRIVE, SHREWSBURY, PA 17361
(717) 942-2049
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
FO3701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FO3701
PA HIS LICENSE
PA
Enumeration date
10/13/2017
Last updated
10/13/2017
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