Provider Demographics
NPI:1376248435
Name:DUFFY, CAROLINE ELIZABETH LOYCE (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ELIZABETH LOYCE
Last Name:DUFFY
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 1:3717 DUMBARTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2421
Mailing Address - Country:US
Mailing Address - Phone:713-410-2430
Mailing Address - Fax:
Practice Address - Street 1:435 H ST
Practice Address - Street 2:CV-112
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910
Practice Address - Country:US
Practice Address - Phone:619-691-7587
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program