Individual
DAVID M DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1103 CHESTNUT ST, PHILADELPHIA, PA 19107-3619
(484) 889-8985
Mailing address
1103 CHESTNUT ST, PHILADELPHIA, PA 19107-3619
(484) 889-8985
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
I3-0001415
DE
152W00000X
Optometrist
Primary
OEG000992
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KZ41 /
BC / BS OF MD
MD
01
—
S186 /
BLUECHOICE
MD
Enumeration date
06/14/2006
Last updated
09/20/2021
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