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NPI Code Detail

MEDICARE: GREGORY W DUQUELLA MD

MEDICARE: GREGORY W DUQUELLA 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
1207R00000XInternal Medicine Physician272367NY

General Provider Information

NPI Number : 1821012048
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY W DUQUELLA MD
Provider Business Mailing Address
First Line : 800 RED MILLS RD
Second Line :
City : WALLKILL
State : NY
Zip : 12589-3220
Country : US
Telephone Number : 845-744-9105
Fax Number : 845-744-9107
Provider Business Practice Location Address
First Line : 800 RED MILLS RD
Second Line :
City : WALLKILL
State : NY
Zip : 12589-3220
Country : US
Telephone Number : 845-744-9105
Fax Number : 845-744-9107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 04/22/2024

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