Organization
DUDZINSKI ENTERPRISES INC
Active
Other names
North East Family Practice (Lab)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ERIC 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
291U00000X
Clinical Medical Laboratory
Primary
005608
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015199710003
—
PA
Enumeration date
01/16/2007
Last updated
12/20/2010
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