Provider Demographics
NPI:1831300243
Name:DUFFY, MEREDITH CRISP (MD)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:CRISP
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:2 COOPER PLZ 400 HADDON AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:855-632-2667
Practice Address - Fax:856-325-6643
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA08274000207VX0201X
FLME90899207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2870429000OtherAMERIHEALTH/KEYSTONE/IBC
NJ60033608OtherHORIZON NJ HEALTH
NJ0138843Medicaid
NJ1607271/7895920OtherAETNA
NJ60036184OtherHORIZON NJ HEALTH
NJ7180076OtherCIGNA
NJP3807795OtherOXFORD
NJ2802706OtherUNITED HEALTHCARE
NJ3K6564OtherHEALTHNET
NJ010048558OtherAMERICHOICE
NJ60033608OtherHORIZON NJ HEALTH
NJ010048558OtherAMERICHOICE
NJ7180076OtherCIGNA