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1649530601
MITCHELL DOUGLAS DUCKWORTH
STONY BROOK, NY
NPI
1649530601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2012-05-24
Last Update Date
2012-05-24
Business Address
Dr. MITCHELL DOUGLAS DUCKWORTH DDS
STONY BROOK UNIVERSITY HOSPITAL DEPT OF
STONY BROOK, NY 11794-8711
Phone number: 631-444-2557
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Mailing Address
Dr. MITCHELL DOUGLAS DUCKWORTH DDS
STONY BROOK UNIVERSITY HOSPITAL MEDICAL OFC 9
STONY BROOK, NY 11794-0001
Phone number: 631-444-2557
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