Individual
DR. IVAN DUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 GRANT AVE, PHILADELPHIA, PA 19115-3160
(215) 464-3838
(215) 464-3899
Mailing address
1701 GRANT AVE, PHILADELPHIA, PA 19115-3160
(215) 464-3838
(215) 464-3899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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