Individual
KENNETH DZIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103
(610) 402-8111
(610) 402-1698
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD464759
PA
Other
Enumeration date
06/10/2014
Last updated
08/20/2018
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