Healthcare Provider Details

I. General information

NPI: 1619885712
Provider Name (Legal Business Name): PATRICK EMMET DUFFY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NIH CLINICAL CENTER 10 CENTER DRIVE
BETHESDA MD
20892
US

IV. Provider business mailing address

BUILDING 29B ROOM 4NN06 29 LINCOLN DRIVE
BETHESDA MD
20892-0001
US

V. Phone/Fax

Practice location:
  • Phone: 240-381-1317
  • Fax: 301-480-1962
Mailing address:
  • Phone: 240-381-1317
  • Fax: 301-480-1962

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101043143
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: