Individual
MR. PAUL ANDREW DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
331 MAIN ST, EAST ORANGE, NJ 07017-1208
(973) 736-2244
(973) 736-2227
Mailing address
331 MAIN ST, EAST ORANGE, NJ 07017-1208
(973) 736-2244
(973) 736-2227
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
45PO00003900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2900665
AETNA HEALTHCARE
NJ
01
—
3K4056
HEALTHNET
NJ
05
—
8745501
—
NJ
Enumeration date
11/13/2006
Last updated
07/08/2007
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