Individual
DR. JODI LYNNE DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
547 CANTON ST, TROY, PA 16947-1479
(570) 297-2970
(570) 297-5057
Mailing address
547 CANTON ST, TROY, PA 16947-1479
(570) 297-2970
(570) 297-5057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000792
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013916500007
—
PA
Enumeration date
08/02/2006
Last updated
02/18/2020
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