Durica, Jon M
Durica, Jon M is an individual health care provider with primary practice located at 1275 Summer St Suite 301, Stamford CT 06905-5359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Durica, Jon M can be contacted via phone (203) 324-4100.Contact Information
Primary practice address
1275 Summer St Suite 301
Stamford CT 06905-5359
Phone: (203) 324-4100
Fax: (203) 324-8539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 032876 | Connecticut |
Profile Details
| NPI number | 1205901378 |
|---|---|
| LBN Legal business name | Durica, Jon M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| 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 | 1205901378 | NPPES |
| Connecticut | Other | 010032876CT02 | BLUE CROSS-DARIEN |
| Connecticut | Other | 10444182 | BLUE CROSS-DARIEN |
| Connecticut | Other | 703287 | BLUE CROSS-DARIEN |
| Connecticut | Other | 022213 | BLUE CROSS-DARIEN |
| Connecticut | Other | 010032876CT01 | BLUE CROSS-DARIEN |
| Connecticut | Other | 4344937 | BLUE CROSS-DARIEN |
| Connecticut | Other | ZP302 | BLUE CROSS-DARIEN |
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