Doctor Name: | ELIZABETH M DUFFY |
NPI Number: | 1093068538 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 25MP00296100 |
Business Practice Address: | 535 Sycamore Ave Shrewsbury, NJ - 077024224 |
Business Phone Number: | 7327410970 |
Business Fax Number: | 7327472606 |
Mailing Address: | 535 Sycamore Ave, SHREWSBURY |
State: | NJ |
Postal Code: | 077024224 |
Phone Number: | 7327410970 |
Fax Number: | 7327472606 |
NPI Enumeration Date: | 10/22/2012 |
NPI Last Update Date: | 10/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 25MP00296100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |