Provider Demographics
NPI:1922539923
Name:DUKE, JESSICA MAROT (MD)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:MAROT
Last Name:DUKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVENUE
Mailing Address - Street 2:BOX 679
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-4290
Mailing Address - Fax:585-473-1573
Practice Address - Street 1:601 ELMWOOD AVENUE
Practice Address - Street 2:# 679
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-4290
Practice Address - Fax:585-473-1573
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL1922539923207R00000X
IL036.152169207R00000X
IL036152169208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty