MEDICARE: DR. IRENEE M DUNCAN MD

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	207Y00000X	Otolaryngology Physician	2004-00493	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00218602	OTHER	NC	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1000420	OTHER	NC	UNITED HEALTHCARE
2	138TH	OTHER	NC	BCBS NC
3	805914	OTHER	NC	PARTNERS
4	2131027	OTHER	NC	MAMSI
6	7426597	OTHER	NC	AETNA
7	ENT34	OTHER	NC	PRIMAHEALTH
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	D9670	OTHER	NC	MEDCOST

General Provider Information

NPI Number	:	1326040700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENEE M DUNCAN MD

Provider Business Mailing Address
First Line	:	2507 KENMORE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27608-1419
Country	:	US
Telephone Number	:	919-781-8358
Fax Number	:

Provider Business Practice Location Address
First Line	:	2507 KENMORE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27608-1419
Country	:	US
Telephone Number	:	919-781-8358
Fax Number	:

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	05/11/2011

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Directions to “ DR. IRENEE M DUNCAN MD” Practice Location

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