Active NPIIndividual provider

Dr. Evander Duck Jr., MD, MS

Specialist in Freehold, New Jersey

NPI Number1679673636
Practice location
495 Iron Bridge RD, Suite 7, Freehold, NJ 07728-3069
Fax
732-780-2979
Last updated
December 7, 2007

Evander Duck is a Specialist based in Freehold, NJ. Evander Duck practices in Freehold, NJ and has the professional credentials of MD, MS. The NPI Number for Evander Duck is 1679673636 and holds a License No. MA060290 (NJ). The current practice location address for Evander Duck is 495 Iron Bridge RD, Suite 7, Freehold, NJ 07728-3069 and can be reached out via phone at 732-780-8477 and via fax at 732-780-2979.

Provider Profile Details

NPI Number
1679673636
Provider Name
Evander Duck
Credential
MD, MS
Provider Entity Type
Individual
Gender
Male
Address
495 Iron Bridge RD, Suite 7, Freehold, NJ 07728-3069
Phone Number
732-780-8477
Fax Number
732-780-2979
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
September 22, 2006
Last Update Date
December 7, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
495 Iron Bridge RD
Suite 7
Freehold, NJ 07728-3069
Zip
07728-3069
Phone Number
732-780-8477
Fax Number
732-780-2979
Freehold, NJ 07728Get directions →

Provider Business Mailing Address Details

Address
11 Shira Ln
Manalapan, NJ 07726-8801
City
Manalapan
State
NJ
Zip
07726-8801

License Information

License Number
MA060290
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Evander Duck Jr., MD, MS?

The NPI number of Dr. Evander Duck Jr., MD, MS is 1679673636. It was assigned on September 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Evander Duck Jr., MD, MS?

Dr. Evander Duck Jr., MD, MS is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA060290.

Where does Dr. Evander Duck Jr., MD, MS practice?

The practice location is 495 Iron Bridge RD, Suite 7, Freehold, NJ 07728-3069. The office can be reached at 732-780-8477 (phone) or 732-780-2979 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679673636 directly on the NPPES registry website.

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