Healthcare Provider Details

I. General information

NPI: 1598934101
Provider Name (Legal Business Name): JOSEPH WILLIAM DUKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2008
Last Update Date: 02/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9320 TELSTAR AVE SUITE 226
EL MONTE CA
91731-2816
US

IV. Provider business mailing address

9320 TELSTAR AVE SUITE 226
EL MONTE CA
91731-2816
US

V. Phone/Fax

Practice location:
  • Phone: 626-569-6020
  • Fax: 626-569-9350
Mailing address:
  • Phone: 626-569-6020
  • Fax: 626-569-9350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA24520
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: