Duncan, Samuel T

Duncan, Samuel T is an individual health care provider with primary practice located at 2040 Millburn Ave Suite 303, Maplewood NJ 07040-3726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Duncan, Samuel T can be contacted via phone (973) 762-4996.

Contact Information

Primary practice address
2040 Millburn Ave Suite 303 Maplewood NJ 07040-3726
Phone: (973) 762-4996
Fax: (973) 762-4955
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51424 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 51424 New Jersey

Profile Details

NPI number 1063419810
LBN Legal business name Duncan, Samuel T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated May 22nd, 2015 - about 10 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 1063419810 NPPES
New Jersey MEDICAID 5654602

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