| NPI | 1154490480 |
|---|---|
| Doing Business As | NORTH EAST FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOHN E DUDZINSKI Owner Physician 814-725-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS006274L) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS012532) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-09-04 |