B. Grazyna Dudkowska, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD065061L Issued in PA

Legal business name

B. GRAZYNA DUDKOWSKA, M.D.

Practice address

1205 Langhorne Newtown Rd
Suite 208
Langhorne, PA 19047-1219

Phone

(215) 750-9592

Fax

(215) 750-9593

NPI assigned

Jun 9, 2006

Last updated

Jul 8, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

B Grazyna Dudkowska, M.D.

Title

Owner

Phone

(215) 750-9592

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1609817097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 208",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "215-750-9592",
            "fax_number": "215-750-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LANGHORNE NEWTOWN RD",
            "address_2": "SUITE 208",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471219",
            "telephone_number": "215-750-9592",
            "fax_number": "215-750-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. GRAZYNA DUDKOWSKA, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "DUDKOWSKA",
        "authorized_official_first_name": "B",
        "authorized_official_middle_name": "GRAZYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-750-9592",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD065061L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2230244001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1527927",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.