Individual
VIJAYA DUKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2010 OLD W CHESTER PIKE, HAVERTOWN, PA 19083
(302) 709-4497
(302) 733-0854
Mailing address
PO BOX 8500-4066, PHILADELPHIA, PA 19178-4066
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD072843L
PA
Other
Enumeration date
10/19/2005
Last updated
11/02/2007
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