Provider Demographics
NPI:1083309207
Name:DUGGAN, AMANDA VICTORIA JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:VICTORIA JOY
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:VICTORIA JOY
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:77 GOODELL STREET, SUITE 310
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1243
Mailing Address - Country:US
Mailing Address - Phone:716-829-6921
Mailing Address - Fax:716-849-5620
Practice Address - Street 1:77 GOODELL STREET, SUITE 310
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1243
Practice Address - Country:US
Practice Address - Phone:716-829-6921
Practice Address - Fax:716-849-5620
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program