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NPI Code Detail

MEDICARE: DR. PAUL DUCH M.D.

MEDICARE: DR. PAUL DUCH 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
1207Q00000XFamily Medicine Physician0101050343VA

General Provider Information

NPI Number : 1669461083
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL DUCH M.D.
Provider Business Mailing Address
First Line : 3120 BENT TREE LN
Second Line :
City : TOANO
State : VA
Zip : 23168-9625
Country : US
Telephone Number : 757-566-2657
Fax Number :
Provider Business Practice Location Address
First Line : 576 JEFFERSON AVE
Second Line :
City : FORT EUSTIS
State : VA
Zip : 23604-1602
Country : US
Telephone Number : 757-314-7845
Fax Number : 757-314-7661
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL DUCH M.D.” Practice Location

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