Individual
DR. JOHN R DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
(215) 663-6620
(215) 663-6630
Mailing address
60 TOWNSHIP LINE RD, ELKINS PARK, PA 19027-2220
(215) 663-6620
(215) 663-6630
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD016741E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000091229
HIGHMARK BLUE SHIELD
PA
05
—
0006982880002
—
PA
01
—
0052364000
HMO ID
PA
01
—
0069828805
AMERICHOICE MEDICAID
PA
01
—
1005357
KEYSTONE MERCY
PA
01
—
2512889
US HEALTHCARE
PA
01
—
990781
HEALTH PARTNERS
PA
Enumeration date
06/23/2006
Last updated
07/08/2007
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