Individual
JONATHAN MARCIANO DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 PARKERS LN, ALEXANDRIA, VA 22306-3209
(703) 664-7000
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5741
(301) 754-7990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0066249
MD
207RN0300X
Nephrology Physician
Primary
0101260741
VA
207RN0300X
Nephrology Physician
D0066249
MD
Other
Enumeration date
07/30/2007
Last updated
09/26/2022
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