Provider Demographics
NPI:1619290830
Name:TERENCE F. DUFFY, M.D. & ASSOCIATES INC
Entity Type:Organization
Organization Name:TERENCE F. DUFFY, M.D. & ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-788-7246
Mailing Address - Street 1:5 S MAIN ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SUGARLOAF
Mailing Address - State:PA
Mailing Address - Zip Code:18249-3141
Mailing Address - Country:US
Mailing Address - Phone:570-788-7246
Mailing Address - Fax:570-788-0505
Practice Address - Street 1:5 S MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SUGARLOAF
Practice Address - State:PA
Practice Address - Zip Code:18249-3141
Practice Address - Country:US
Practice Address - Phone:570-788-7246
Practice Address - Fax:570-788-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2010-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD040009L2081P2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty