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Individual

JOHN DAWSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
517 PIERCE ST, KINGSTON, PA 18704-5731
(570) 714-7226
Mailing address
517 PIERCE ST, KINGSTON, PA 18704-5731
(570) 714-7226

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD038547E
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD038547E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012436580015
PA
05
12436580015
PA
01
1423GR
BCBS
PA
Enumeration date
09/27/2005
Last updated
01/05/2024
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