Provider Demographics
NPI:1598934101
Name:DUKE, JOSEPH WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:DUKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9320 TELSTAR AVE
Mailing Address - Street 2:SUITE 226
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-2816
Mailing Address - Country:US
Mailing Address - Phone:626-569-6020
Mailing Address - Fax:626-569-9350
Practice Address - Street 1:9320 TELSTAR AVE
Practice Address - Street 2:SUITE 226
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-2816
Practice Address - Country:US
Practice Address - Phone:626-569-6020
Practice Address - Fax:626-569-9350
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA24520208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics