Organization
DUDZINSKI ENTERPRISES, INC.
Active
Other names
North East Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E DUDZINSKI D.O. (OWNER PHYSICIAN)
(814) 725-8774
Entity
Organization
Contact information
Practice address
115 E MAIN ST, NORTH EAST, PA 16428-1330
(814) 725-8774
(814) 725-2391
Mailing address
115 E MAIN ST, NORTH EAST, PA 16428-1330
(814) 725-8774
(814) 725-2391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006274L
PA
207Q00000X
Family Medicine Physician
OS012532
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014723860001
—
PA
Enumeration date
11/08/2006
Last updated
09/04/2008
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