Dudzik, Mary E

Dudzik, Mary E is an individual health care provider with primary practice located at 735 Wilson St , Brewer ME 04412-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dudzik, Mary E can be contacted via phone (079) 891-5672.

Contact Information

Primary practice address
735 Wilson St Brewer ME 04412-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD13330 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 013330 Maine

Profile Details

NPI number 1598735722
LBN Legal business name Dudzik, Mary E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Aug 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598735722 NPPES
Maine Other 11160 ANTHEM
Maine MEDICAID 1790764512-003 ANTHEM
Maine Other MD13330 ANTHEM

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