Basic Information
Provider Information
NPI: 1598999450
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUKE
FirstName: CINDY
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D, PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 15 HARBOUR CLOSE
Address2: #A15
City: NEW HAVEN
State: CT
PostalCode: 065192844
CountryCode: US
TelephoneNumber: 5854152737
FaxNumber:  
Practice Location
Address1: 150 SARGENT DR
Address2: 2ND FLOOR
City: NEW HAVEN
State: CT
PostalCode: 065116100
CountryCode: US
TelephoneNumber: 2037645866
FaxNumber: 2037645619
Other Information
ProviderEnumerationDate: 05/07/2009
LastUpdateDate: 07/08/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X000000000MDY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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