Individual
DR. IFEANYI BERTRAM NWADUKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 MARKET ST, WILLIAMSPORT, PA 17701-6345
(570) 368-4477
(570) 368-4476
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
MD482489
PA
2083P0901X
Public Health & General Preventive Medicine Physician
83915
GA
208D00000X
General Practice Physician
83915
GA
Other
Enumeration date
03/07/2018
Last updated
10/25/2023
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