Individual
DURRIYA S ESAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 EYE CENTER DR, MUNCY, PA 17756-9200
(866) 995-3937
Mailing address
88 HARDEES DR, MIFFLINBURG, PA 17844-7062
(866) 995-3937
(570) 966-5586
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD043700L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670649
BLUE SHIELD
PA
Enumeration date
03/21/2006
Last updated
05/09/2022
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