Basic Information
| Provider Information | |||||||||
| NPI: | 1851463202 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DUFFIELD | ||||||||
| FirstName: | JEREMY | ||||||||
| MiddleName: | STUART | ||||||||
| NamePrefix: | PROF. | ||||||||
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| Credential: | M.D. PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 BLACKFAN CIR | ||||||||
| Address2: | HARVARD INSTITUTES OF MEDICINE ROOM 574 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021155713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6175255914 | ||||||||
| FaxNumber: | 6175255830 | ||||||||
| Practice Location | |||||||||
| Address1: | 75 FRANCIS ST | ||||||||
| Address2: | BRIGHAM MEDICAL SPECIALTIES | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021156110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177326383 | ||||||||
| FaxNumber: | 6175255830 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/14/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 230001 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.