Provider Demographics
NPI:1417378076
Name:DUNCAN, JULIET (PA-C)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 FERRING CT
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-3216
Mailing Address - Country:US
Mailing Address - Phone:443-632-7859
Mailing Address - Fax:
Practice Address - Street 1:206 S HAYS ST
Practice Address - Street 2:UNIT 201
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3672
Practice Address - Country:US
Practice Address - Phone:410-900-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0005276363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant