Individual
MARK A DURBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 CORPORATE DRIVE, SUITE 6, EASTON, PA 18045-2664
(610) 250-9605
(610) 250-3902
Mailing address
21 CORPORATE DRIVE, SUITE 6, EASTON, PA 18045-2664
(610) 250-9605
(610) 250-3902
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
MA51321
NJ
207RR0500X
Rheumatology Physician
Primary
MD027186E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001122106
—
PA
05
—
2463105
—
NJ
Enumeration date
06/09/2006
Last updated
02/01/2010
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