Durham, Rodney Martin

Durham, Rodney Martin is an individual health care provider with primary practice located at 100 E Lancaster Ave Ste 257 , Wynnewood PA 19096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Durham, Rodney Martin can be contacted via phone (610) 642-1908.

Contact Information

Primary practice address
100 E Lancaster Ave Ste 257 Wynnewood PA 19096
Phone: (610) 642-1908
Fax: (610) 642-6808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X MD463258 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X MD463258 Pennsylvania

Profile Details

NPI number 1710926514
LBN Legal business name Durham, Rodney Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 19th, 2020 - about 4 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 1710926514 NPPES
Florida Other ME85293 MEDICAL LICENSE
Florida MEDICAID 261-537-100 MEDICAL LICENSE

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