Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251E1200X | Ergonomics | 013639-1 | NY |
N | 225XE1200X | Ergonomics | 013639-1 | NY |
Y | 2251E1200X | Ergonomics | 40QA00609600 | NJ |
Y | 225XE1200X | Ergonomics | 40QA00609600 | NJ |
NPI | 1821338724 |
---|---|
Provider Name | Dr. Jillian M Duff |
First Address | South Orange, NJ 07079-2646 |
Second Address | South Orange, NJ 07079-2646 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2013 |
Last Update Date | 01/03/2013 |