Provider Demographics
NPI:1225325491
Name:DUCHOW, ALLISON JOYCE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:JOYCE
Last Name:DUCHOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1736
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:NSW
Mailing Address - Zip Code:2460
Mailing Address - Country:AU
Mailing Address - Phone:6126-642-2633
Mailing Address - Fax:
Practice Address - Street 1:146 FITZROY ST.
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:NSW
Practice Address - Zip Code:2460
Practice Address - Country:AU
Practice Address - Phone:6126-642-2633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ0000235347208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery