Provider Demographics
NPI:1003806399
Name:DUFFY, GLORIA BARTOLOME (MD)
Entity type:Individual
Prefix:DR
First Name:GLORIA
Middle Name:BARTOLOME
Last Name:DUFFY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2768 CODY RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22181-5387
Mailing Address - Country:US
Mailing Address - Phone:703-576-1393
Mailing Address - Fax:703-576-1412
Practice Address - Street 1:14450 SMOKETOWN RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-4712
Practice Address - Country:US
Practice Address - Phone:703-551-4720
Practice Address - Fax:703-576-1412
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01010492432084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry