Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N004471-1 | NY |
NPI | 1063435667 |
---|---|
Provider Name | Dr. Joseph Patrick Duggan |
First Address | White River Junction, VT 05009-0001 |
Second Address | White River Junction, VT 05009-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U18045 | (02) | NY |