Individual
FREDERICK DURRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 METRO BLVD, NUTLEY, NJ 07110-6101
(862) 660-5000
Mailing address
123 METRO BLVD, NUTLEY, NJ 07110-6101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/18/2024
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