MEDICARE: MICHAEL J DUZY DO

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	207RC0000X	Cardiovascular Disease Physician	OS008088L	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1689679201
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J DUZY DO

Provider Business Mailing Address
First Line	:	207 N BROAD ST FL 3
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-1500
Country	:	US
Telephone Number	:	610-696-2850
Fax Number	:	610-696-7159

Provider Business Practice Location Address
First Line	:	404 MCFARLAN RD
Second Line	:	BLDG A STE 102
City	:	KENNETT SQUARE
State	:	PA
Zip	:	19348-2479
Country	:	US
Telephone Number	:	610-696-2850
Fax Number	:	610-696-7159

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	07/07/2023

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Directions to “ MICHAEL J DUZY DO” Practice Location

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