Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 278884 | MA |
N | 207VX0201X | Gynecologic Oncologist | D84047 | MD |
NPI | 1437326105 |
---|---|
Provider Name | Jennifer Ann Ducie |
First Address | Fairhaven, MA 02719-5255 |
Second Address | Fairhaven, MA 02719-5208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2008 |
Last Update Date | 21/04/2020 |