Individual
DR. JONATHAN HOWARD DURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FRCS
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(212) 639-8383
Mailing address
2039 VISTA DR, LEWISVILLE, TX 75067-7461
(214) 673-0802
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
25MA1161600
NJ
2086S0120X
Pediatric Surgery Physician
7012097
ZZ
Other
Enumeration date
04/07/2020
Last updated
09/14/2022
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