Michael T Duffy Md Inc A Professional Corporation | |
9400 Brighton Way Suite 300 Beverly Hills CA 90210-0001 | |
(310) 621-4156 | |
Not Available |
Full Name | Michael T Duffy Md Inc A Professional Corporation |
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Speciality | Internal Medicine |
Location | 9400 Brighton Way, Beverly Hills, California |
Authorized Official Name and Position | Michael T Duffy (PRESIDENT) |
Authorized Official Contact | 3106214156 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Michael T Duffy Md Inc A Professional Corporation 9400 Brighton Way Suite 300 Beverly Hills CA 90210-0001 Ph: (310) 621-4156 | Michael T Duffy Md Inc A Professional Corporation 9400 Brighton Way Suite 300 Beverly Hills CA 90210-0001 Ph: (310) 621-4156 |
NPI Number | 1477958122 |
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Provider Enumeration Date | 10/23/2014 |
Last Update Date | 10/24/2014 |
Medicare PECOS PAC ID | 6103895123 |
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Medicare Enrollment ID | O20150126002333 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477958122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michael T Duffy |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689635328 PECOS PAC ID: 8729057740 Enrollment ID: I20040929000205 |
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