Individual
DR. DIANNE DUFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
(203) 551-7400
Mailing address
1635 CENTRAL AVE, BRIDGEPORT, CT 06610-2717
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
221541
NY
2084P0800X
Psychiatry Physician
Primary
045479
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001454793
DUFFEY MEDICAID
CT
01
—
D400278240
DUFFEY MEDICARE
CT
Enumeration date
03/22/2006
Last updated
11/22/2017
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