Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MD013091E | PA |
NPI | 1063400497 |
---|---|
Provider Name | Francis J Duggan JR. |
First Address | Camp Hill, PA 17011-2207 |
Second Address | Camp Hill, PA 17011-2207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B37352 | (02) |