Most Relevant Information
Provider Data
| NPI Number: | 1003825506 |
| Provider Name: | DANIEL JOHN DUDRICK M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MD438396 |
Most Important Dates
| Enumeration Date: | 08/05/2006 |
| Last Updated: | 11/24/2021 |
Provider Practice Location
239 S MOUNTAIN BLVD
SUITE 100
MOUNTAIN TOP
PA
187071911
Practice Location Phone/Fax
| Phone: | 5704749300 |
| Fax: | 5704740962 |
Provider Mailing Location
610 WYOMING AVE
KINGSTON
PA
187043702
Provider Mailing Phone/Fax
| Phone: | 5702885441 |
| Fax: | 5702885842 |
Suggested EMR
Family Practice EMR