Individual
PATRICK R DUFFY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 WATERBURY RD, SUITE 301, PROSPECT, CT 06712-1200
(203) 758-3163
(203) 758-6021
Mailing address
166 WATERBURY RD, SUITE 301, PROSPECT, CT 06712-1200
(203) 758-3163
(203) 758-6021
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
027466
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001274662
—
CT
01
—
010027466CT03
ANTHEM BCBS NON PAR (LLC)
CT
01
—
201767500
UNITED HEALTH CARE
CT
01
—
P00209083
RR MEDICARE
CT
01
—
P1125487
OXFORD HEALTHPLANS
CT
Enumeration date
07/07/2005
Last updated
03/30/2017
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