Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 0101237743 | VA |
N | 208600000X | Surgeon | 0101237743 | VA |
Y | 2086S0120X | Pediatric Surgery | MD460614 | PA |
NPI | 1295928992 |
---|---|
Provider Name | Dr. Duane Stopp Duke |
First Address | Philadelphia, PA 19178-3311 |
Second Address | Allentown, PA 18103-6241 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2007 |
Last Update Date | 17/03/2018 |