Individual
DR. JENNIFER D DUKOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
310 LONG SHOALS RD, SUITE 310, ARDEN, NC 28704-8794
(828) 213-8235
Mailing address
PO BOX 602373, CHARLOTTE, NC 28260-2373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12373
NH
207R00000X
Internal Medicine Physician
Primary
2007-01304
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010760
—
VT
01
—
RE7795
MEDICARE #
NH
Enumeration date
06/08/2006
Last updated
10/27/2016
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