Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 038674 | CT |
NPI | 1154399202 |
---|---|
Provider Name | Dr. Allyson N Duffy |
First Address | West Hartford, CT 06117 |
Second Address | West Hartford, CT 06117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 26/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
004058400 | (05) | CT |
010038674CT02 | ANTHEM BCBS (01) | CT |
038674 | CONNECTECARE (01) | CT |