Individual
BOGUSLAWA GRAZYNA DUDKOWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
735 DAVISVILLE RD STE 2B, SOUTHAMPTON, PA 18966
(215) 396-4227
(215) 396-2523
Mailing address
41 UNIVERSITY DR, SUITE 300, NEWTOWN, PA 18940-1873
(215) 710-5522
(215) 710-5181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD065061L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020093
RAILROAD MEDICARE
PA
01
—
0327063000
INDEPENDENCE BLUE CROSS
PA
01
—
30015328
KEYSTONE MERCY
PA
01
—
3064040
AETNA
PA
01
—
422146
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/06/2006
Last updated
08/15/2018
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