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Individual

SCOTT J DUANY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
123 SUMMER ST, WORCESTER, MA 01608-1200
(508) 363-6134
(508) 363-7164
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1234
NH
363A00000X
Physician Assistant
Primary
1745
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3100286
NH
Enumeration date
03/23/2006
Last updated
03/27/2025
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