MEDICARE: JOHN WILLIAM DUNCAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085N0700X	Neuroradiology Physician	216625	NC

General Provider Information

NPI Number	:	1437426483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN WILLIAM DUNCAN M.D.

Provider Business Mailing Address
First Line	:	7 E 14TH ST APT 201
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-3117
Country	:	US
Telephone Number	:	516-306-3375
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 E 14TH ST APT 201
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10003-3117
Country	:	US
Telephone Number	:	516-306-3375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2011
Last Update Date	:	10/18/2019

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