Durand, Marlene Leslie
Durand, Marlene Leslie is an individual health care provider with primary practice located at 55 Fruit St Infectious Disease Associates Grj 5, Boston MA 02114-2696. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Durand, Marlene Leslie can be contacted via phone (617) 726-3812.Contact Information
Primary practice address
55 Fruit St Infectious Disease Associates Grj 5
Boston MA 02114-2696
Phone: (617) 726-3812
Fax: (617) 726-7416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 50821 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 50821 | Massachusetts |
Profile Details
| NPI number | 1598756058 |
|---|---|
| LBN Legal business name | Durand, Marlene Leslie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598756058 | NPPES |
| Massachusetts | MEDICAID | 3010961 | |
| Massachusetts | Other | J05475 | |
| Massachusetts | Other | 724125 |
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