Individual
THEODORE A DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1600 HADDON AVE FL 3, CAMDEN, NJ 08103-3101
(856) 988-6260
(856) 988-6270
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 988-6260
(856) 988-6270
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00231400
NJ
367500000X
Certified Registered Nurse Anesthetist
26NO12190600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222041639
TAX ID
NJ
Enumeration date
04/22/2008
Last updated
01/27/2025
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