Provider Demographics
NPI:1043393317
Name:DUHL, JOZSEF SAMUEL (MD)
Entity Type:Individual
Prefix:
First Name:JOZSEF
Middle Name:SAMUEL
Last Name:DUHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:JOZSEF
Other - Middle Name:
Other - Last Name:DULL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1030 ST GEORGES AVENUE
Mailing Address - Street 2:SUITE 103A
Mailing Address - City:AVENEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07001
Mailing Address - Country:US
Mailing Address - Phone:732-596-0155
Mailing Address - Fax:732-596-0158
Practice Address - Street 1:1030 ST GEORGES AVENUE
Practice Address - Street 2:SUITE 103A
Practice Address - City:AVENEL
Practice Address - State:NJ
Practice Address - Zip Code:07001
Practice Address - Country:US
Practice Address - Phone:732-596-0155
Practice Address - Fax:732-596-0158
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05049700207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4511107Medicaid
E84172Medicare UPIN
669846MWJMedicare ID - Type Unspecified