Individual
CHARLES C DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH- CHILDREN'S HOSP. - WEST PAVILLION 2ND FL, NEW HAVEN, CT 06510-3220
(203) 785-2809
(203) 785-6916
Mailing address
PO BOX 9805, 300 GEORGE STREET 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
018809
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001188093
—
CT
Enumeration date
11/04/2005
Last updated
06/27/2008
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