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Individual

ROMAN DUDARYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-2255
Mailing address
110 KINGSBURY DR, CHAPEL HILL, NC 27514-1570
(786) 664-1403

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 104824
FL
390200000X
Student in an Organized Health Care Education/Training Program
10394
FL

Other

Enumeration date
06/01/2007
Last updated
03/14/2011
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