Individual
MARK M DURCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
273 PAYNE RD, SCARBOROUGH, ME 04074-9593
(207) 618-9355
(207) 618-9356
Mailing address
74 PLEASANT ST, STE 204, NEW LONDON, NH 03257-5881
(207) 618-9355
(207) 618-9356
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9799
NH
207P00000X
Emergency Medicine Physician
MD20347
ME
207R00000X
Internal Medicine Physician
9799
NH
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
9799
NH
208000000X
Pediatrics Physician
9799
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108262Y0NH03
ANTHEM
NH
05
—
0188107
—
MA
05
—
30201928
—
NH
01
—
69151
TUFTS
—
01
—
7067015
AETNA
NH
01
—
7067015
AETNA
—
01
—
AA105262
HARVARD PILGRIM
—
01
—
G18766
NHBS RAN
NH
01
—
P00191358
RAILROAD MEDICARE
—
Enumeration date
07/18/2006
Last updated
04/17/2020
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