John R Duda in Elkins Park - Specialist

John R Duda - NPI 1588690556

John R Duda is a Specialist in Elkins Park, Pennsylvania. John R Duda practices all healthcare services and medical treatments related to Specialist. The NPI Number for John R Duda is 1588690556. The last update date is 2007-07-08.

John R Duda's current location address is 60 Township Line Rd, Elkins Park, Pennsylvania. You can contact this provider via phone number 2156636620 and fax number 2156636630. The mailing address for John R Duda is 60 Township Line Rd, Elkins Park, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name John R Duda
Address 60 Township Line Rd, Elkins Park, Pennsylvania
Phone Number 2156636620
Fax Number 2156636630
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1588690556
Provider Enumeration Date 2006-06-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 60 Township Line Rd
City Elkins Park
State Pennsylvania (PA)
Post Code 190272220
Phone Number 2156636620
Fax Number 2156636630

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MD016741E
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
91229 PA HIGHMARK BLUE SHIELD
52364000 PA HMO ID
2512889 PA US HEALTHCARE
6982880002 PA --
69828805 PA AMERICHOICE MEDICAID
1005357 PA KEYSTONE MERCY
990781 PA HEALTH PARTNERS

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FAQs about John R Duda

What is the John R Duda's unique identification number?

The John R Duda has been assigned the NPI (National Provider Identifier) Number 1588690556 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where John R Duda is physically located?

The John R Duda is physically situated at the following address: 60 Township Line Rd, Elkins Park, PA, 190272220.

What is John R Duda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John R Duda's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date was the 1588690556 assigned to John R Duda?

The John R Duda was issued its 1588690556 on 2006-06-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to John R Duda most recently updated or revised?

The details related to John R Duda, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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