Individual
MR. KEITH JAMES DUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
1500 SPRUCE ST, PHILADELPHIA, PA 19102-4502
(215) 790-3290
Mailing address
1500 SPRUCE ST, PHILADELPHIA, PA 19102
(215) 790-3290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP007463
PA
363LF0000X
Family Nurse Practitioner
Primary
SP0007463
PA
Other
Enumeration date
01/22/2007
Last updated
08/17/2017
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