Provider Demographics
NPI:1770145963
Name:DUNDON, RITA M (CRNP)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:M
Last Name:DUNDON
Suffix:
Gender:F
Credentials:CRNP
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Mailing Address - Street 1:PO BOX 789967
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-9967
Mailing Address - Country:US
Mailing Address - Phone:484-622-7395
Mailing Address - Fax:484-622-7399
Practice Address - Street 1:4070 BUTLER PIKE STE 200
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1510
Practice Address - Country:US
Practice Address - Phone:610-825-5741
Practice Address - Fax:610-825-2501
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PANPPA037632207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine