Durand, Mary Lee

Durand, Mary Lee is an individual health care provider with primary practice located at 52 Berlin Rd Suite 5000, Cherry Hill NJ 08034-3574. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Durand, Mary Lee can be contacted via phone (856) 795-1003.

Contact Information

Primary practice address
52 Berlin Rd Suite 5000 Cherry Hill NJ 08034-3574
Phone: (856) 795-1003
Fax: (856) 795-5994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 25MD241500 New Jersey
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC004222L Pennsylvania

Profile Details

NPI number 1255432316
LBN Legal business name Durand, Mary Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255432316 NPPES
New Jersey MEDICAID 7749007
New Jersey Other 01000470601
New Jersey Other 8212423
New Jersey Other 96254
New Jersey Other P2458768
New Jersey Other 1079674
New Jersey Other 0728173000

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