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NPI Code Detail

MEDICARE: DR. JOSEPH DUFFY M.D.

MEDICARE:  DR. JOSEPH  DUFFY  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
1207P00000XEmergency Medicine Physician25MA05656700NJ
2207Q00000XFamily Medicine PhysicianMA056567NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033117171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH DUFFY M.D.
Provider Business Mailing Address
First Line : 220 HAMBURG TPKE
Second Line : SUITE 14
City : WAYNE
State : NJ
Zip : 07470-2110
Country : US
Telephone Number : 973-942-0200
Fax Number : 973-942-0202
Provider Business Practice Location Address
First Line : 220 HAMBURG TPKE
Second Line : SUITE 14
City : WAYNE
State : NJ
Zip : 07470-2110
Country : US
Telephone Number : 973-942-0200
Fax Number : 973-942-0202
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 05/21/2012

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Directions to “ DR. JOSEPH DUFFY M.D.” Practice Location

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