Basic Information
| Provider Information | |||||||||
| NPI: | 1003814658 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUFFY | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | F. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108491013 | ||||||||
| Practice Location | |||||||||
| Address1: | 2775 SCHOENERSVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180177307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108618080 | ||||||||
| FaxNumber: | 6108491013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/08/2005 | ||||||||
| LastUpdateDate: | 05/11/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | DC004137L | PA | Y | Chiropractic Providers | Chiropractor |
ID Information
| ID | Type | State | Issuer | Description | 01941201 | 01 | KEYSTONE HEALTH CENTRAL | OTHER | 1526918 | 01 | PRIVATE HEALTHCARE SYSTEM | OTHER | 0015072910001 | 05 | PA | MEDICAID | 0404434000 | 01 | KEYSTONE HEALTH EAST | OTHER | 3135012 | 01 | MAMSI | OTHER | 0813574 | 01 | UNITED HEALTHCARE | OTHER | 350033789 | 01 | MEDICARE RAILROAD | OTHER | 0404434000 | 01 | INDEPENDENCE BLUE CROSS | OTHER | 1353362 | 01 | CIGNA HEALTHCARE | OTHER | 90716 | 01 | GEISINGER HEALTH PLAN | OTHER | 421357 | 01 | HEALTHAMERICA/HEALTHASSUR | OTHER | 01941201 | 01 | CAPITAL BLUE CROSS | OTHER | P1551652 | 01 | OXFORD HEALTH PLANS | OTHER | 0404434000 | 01 | AMERIHEALTH | OTHER | 482247 | 01 | AETNA PPO | OTHER | 582626 | 01 | HIGHMARK BLUE SHIELD | OTHER |