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Individual

DR. ERIK D DUTKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
53 N UNION AVE, LANSDOWNE, PA 19050-2536
(484) 521-2892
Mailing address
53 N UNION AVE, LANSDOWNE, PA 19050-2536
(484) 521-2892

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN618839
PA
363LF0000X
Family Nurse Practitioner
Primary
SP021096
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103733418-0001
PA
05
103733418-0002
PA
05
103733418-0003
PA
Enumeration date
09/05/2012
Last updated
01/20/2023
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