Individual
DR. WILLIAM J DURBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 01655-0002
(508) 856-2650
(774) 441-8058
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40989
MA
2080P0208X
Pediatric Infectious Diseases Physician
Primary
40989
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110038301A
—
MA
Enumeration date
11/03/2005
Last updated
11/23/2022
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