Dr. Daniel John Dudrick
Family Doctor
239 S Mountain Blvd Suite 100
Mountain Top
, Pennsylvania 18707-1911
Dr. Daniel John Dudrick
Family Doctor
239 S Mountain Blvd Suite 100
Mountain Top
, Pennsylvania 18707-1911
(570) 288-5842
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Dr. Daniel John Dudrick
- 610 Wyoming Ave
- Kingston, PA
- Zip : 18704-3702
- Fax : (570) 288-5842
- Phone : (570) 288-5441
Second Address
- Dr. Daniel John Dudrick
- 239 S Mountain Blvd Suite 100
- Mountain Top, PA
- Zip : 18707-1911
- Fax : (570) 474-0962
- Phone : (570) 474-9300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD438396 | PA |
National Provider Identifier
| NPI | 1003825506 |
|---|---|
| Provider Name | Dr. Daniel John Dudrick |
| First Address | Kingston, PA 18704-3702 |
| Second Address | Mountain Top, PA 18707-1911 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2006 |
| Last Update Date | 24/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.