Provider Demographics
NPI:1629061148
Name:DUNCAN, GEORGE W (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:W
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8625 PLEASANT PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2352
Mailing Address - Country:US
Mailing Address - Phone:410-828-5558
Mailing Address - Fax:410-823-6315
Practice Address - Street 1:8625 PLEASANT PLAINS RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2352
Practice Address - Country:US
Practice Address - Phone:410-828-5558
Practice Address - Fax:410-823-6315
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0022348207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD864200100Medicaid
D76632Medicare UPIN
MD467EMedicare PIN