National Provider Identifier Database

SUSAN J DUFFY, MD – NPI #1497779342
Pediatric Emergency Medicine

A pediatrician who has special qualifications to manage emergencies in infants and children.

Contact Information

SUSAN J DUFFY, MD
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI  02903-4923
Phone: 401-854-2504
Fax: 401-854-2519
Website:
Specialty Taxonomy Code
* Pediatric Emergency Medicine 2080P0204X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for SUSAN J DUFFY

NPI Number 1497779342
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 09/17/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • RI License #: MD08890
  • MA Medicaid: 3192067
  • RI Medicaid: 7004958
  • MA Other: 12/29/2008 TUFTS HEALTH PLAN
  • RI Other: 404794 BCB SRI
  • RI Other: 939025129 MEDICARE GROUP NUMBER
  • RI Other: 12/14/2006 NHPRI
  • RI Other: 1497779342 NPI
  • RI Other: 007004958 RI MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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