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Individual

MARY LEE DURAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994
Mailing address
52 BERLIN RD, SUITE 5000, CHERRY HILL, NJ 08034-3574
(856) 795-1003
(856) 795-5994

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD241500
NJ
213E00000X
Podiatrist
SC004222L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000470601
AMERICHOICE
NJ
01
0728173000
AMERIHEALTH
NJ
01
1079674
HORIZON NJ HEALTH
NJ
05
7749007
NJ
01
8212423
GHI
01
96254
AMERIGROUP
01
P2458768
OXFORD
Enumeration date
09/25/2006
Last updated
07/08/2007
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