Duffy, Susan J

Duffy, Susan J is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Duffy, Susan J can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD08890 Rhode Island
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MD08890 Rhode Island

Profile Details

NPI number 1497779342
LBN Legal business name Duffy, Susan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 17th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497779342 NPPES
Massachusetts MEDICAID 3192067
Massachusetts Other 12/29/2008
Massachusetts Other 1497779342
Massachusetts Other 404794
Massachusetts MEDICAID 7004958
Massachusetts Other 939025129
Massachusetts Other 007004958
Massachusetts Other 12/14/2006

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