Individual
JOHN H. DUFENDACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
147 GETTYS ST, GETTYSBURG, PA 17325-2534
(717) 337-4216
(717) 337-4249
Mailing address
1803 MOUNT ROSE AVE, STE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD025315E
PA
207Q00000X
Family Medicine Physician
MD025315E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010074000
AMERIHEALTH 65 PA GH
PA
01
—
114445
UNISON GH
PA
01
—
1521176
GATEWAY-GH
PA
01
—
181476
HIGHMARK GH
PA
01
—
20016175
AMERIHEALTH MERCY GH
PA
01
—
24299
GEISINGER-GH
PA
01
—
50067127
CAPITAL BLUE CROSS GH
PA
Enumeration date
06/15/2006
Last updated
10/30/2007
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