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Individual

DR. DAVID SCOTT PRYLUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-5103
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
25MA09095200
NJ
2085R0202X
Diagnostic Radiology Physician
C1-0009981
DE
2085R0202X
Diagnostic Radiology Physician
MD445009
PA
2085R0204X
Vascular & Interventional Radiology Physician
25MA09095200
NJ
2085R0204X
Vascular & Interventional Radiology Physician
C1-0009981
DE
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD445009
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0295949
NJ
05
102694413
PA
05
1841495181
DE
Enumeration date
06/18/2007
Last updated
01/02/2020
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