MEDICARE: JOSEPH M. DUFFY MD PA

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	207Q00000X	Family Medicine Physician	MA 056567	NJ

General Provider Information

NPI Number	:	1891806956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSEPH M. DUFFY MD PA

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	:	973-942-0211

Provider Business Practice Location Address
First Line	:	220 HAMBURG TPKE
Second Line	:	SUITE 14
City	:	WAYNE
State	:	NJ
Zip	:	07470-2132
Country	:	US
Telephone Number	:	973-942-0200
Fax Number	:	973-942-0211

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOSEPH MICHAEL DUFFY
Credential	:	M.D.
Telephone Number	:	973-942-0200

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/10/2008

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