Individual
VICTOR C DY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3417 BRIDLEPATH RD, EASTON, PA 18045-2009
(610) 442-2791
Mailing address
3417 BRIDLEPATH RD, EASTON, PA 18045-2009
(610) 442-2791
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD035392-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019207990001
—
PA
01
—
141482
BLUE SHIELD
PA
01
—
2301000
BLUE CROSS
PA
Enumeration date
08/22/2005
Last updated
12/14/2015
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