Provider Demographics
NPI:1124689229
Name:DUFFY, ROBERT FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:DUFFY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 SAGEMORE DR STE 10101
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3944
Mailing Address - Country:US
Mailing Address - Phone:856-596-0111
Mailing Address - Fax:856-596-7194
Practice Address - Street 1:10000 SAGEMORE DR STE 10101
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3944
Practice Address - Country:US
Practice Address - Phone:856-596-0111
Practice Address - Fax:856-596-7194
Is Sole Proprietor?:No
Enumeration Date:2019-06-28
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12173200207N00000X, 207NP0225X
PAMT227495207NP0225X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NP0225XAllopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program