Provider Demographics
NPI:1427094697
Name:DUFFY, DANIELLE (MD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
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 1:925 CHESTNUT ST
Mailing Address - Street 2:SUITE 200, JEFFERSON HEART INSTITUTE
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4216
Mailing Address - Country:US
Mailing Address - Phone:215-955-5050
Mailing Address - Fax:215-503-5650
Practice Address - Street 1:925 CHESTNUT ST
Practice Address - Street 2:MEZZANINE, JEFFERSON HEART INSTITUTE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4216
Practice Address - Country:US
Practice Address - Phone:215-955-5050
Practice Address - Fax:215-503-5650
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD426956207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0076198Medicaid
PA101498220Medicaid
NJ0076198Medicaid
PA101498220Medicaid