Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 0101239942 | VA |
N | 207L00000X | Anesthesiologist | 75809 | MA |
NPI | 1003891680 |
---|---|
Provider Name | Dr. Sabine E Duffy |
First Address | Raleigh, NC 27616-2880 |
Second Address | Falls Church, VA 22042-3307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2005 |
Last Update Date | 20/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3117413 | (05) | MA |
F71124 | (02) |