Provider Demographics
NPI:1598927063
Name:DUFFY, MARIT CONNOR (MD)
Entity type:Individual
Prefix:DR
First Name:MARIT
Middle Name:CONNOR
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9300 DEWITT LOOP
Mailing Address - Street 2:FORT BELVOIR COMMUNITY HOSPITAL DEPARTMENT OF RADIOLOGY
Mailing Address - City:FT BELVOIR
Mailing Address - State:VA
Mailing Address - Zip Code:22060
Mailing Address - Country:US
Mailing Address - Phone:703-517-2403
Mailing Address - Fax:
Practice Address - Street 1:2002 MEDICAL PKWY STE 235
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3260
Practice Address - Country:US
Practice Address - Phone:410-266-2770
Practice Address - Fax:410-841-6251
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2020-06-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012470962085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology