Individual
CAMERON DEWAYNE DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37 VERONICA DR, MARTINSBURG, WV 25404-3756
(304) 671-2582
(724) 660-4233
Mailing address
808 JERRY CT, MARTINSBURG, WV 25401-1783
(304) 262-8901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19195
WV
207QA0401X
Addiction Medicine (Family Medicine) Physician
19195
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000954023
BLUE CROSS/BLUE SHIELD
WV
05
—
0135178 00
—
MD
05
—
1801943000
—
WV
01
—
P0216471
RAILROAD MEDICARE
WV
Enumeration date
06/30/2006
Last updated
03/27/2020
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