Provider Demographics
NPI:1679794796
Name:DUARTE, MADDALENA PIZZIRUSSO (MD)
Entity Type:Individual
Prefix:
First Name:MADDALENA
Middle Name:PIZZIRUSSO
Last Name:DUARTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28603-0308
Mailing Address - Country:US
Mailing Address - Phone:828-322-2644
Mailing Address - Fax:828-327-2235
Practice Address - Street 1:18 13TH AVE NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3748
Practice Address - Country:US
Practice Address - Phone:828-322-2644
Practice Address - Fax:828-327-2235
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2023-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0508162085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology