Individual
GERALD DUFFY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
24 NORMAN ST, APT 106, SALEM, MA 01970-3360
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA5948
MA
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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