Organization
B. GRAZYNA DUDKOWSKA, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
B GRAZYNA DUDKOWSKA M.D. (OWNER)
(215) 750-9592
Entity
Organization
Contact information
Practice address
1205 LANGHORNE NEWTOWN RD, SUITE 208, LANGHORNE, PA 19047-1219
(215) 750-9592
(215) 750-9593
Mailing address
1205 LANGHORNE NEWTOWN RD, SUITE 208, LANGHORNE, PA 19047-1219
(215) 750-9592
(215) 750-9593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD065061L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1527927
HIGHMARK BLUE SHIELD
PA
01
—
2230244001
INDEPENDENCE BLUE CROSS
PA
Enumeration date
06/09/2006
Last updated
07/08/2008
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