Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 25MA08861300 | NJ |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | C1-0009167 | DE |
NPI | 1124143482 |
---|---|
Provider Name | Dr. Beth R Duncan |
First Address | Camden, NJ 08103-1438 |
Second Address | Camden, NJ 08103-1438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 03/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
25MA08861300 | NJ LICENSE (01) | NJ |
262101100 | (05) | MD |
G02257 | (02) | DE |
G13235 | (02) | MD |