Healthcare Provider Details

I. General information

NPI: 1760958771
Provider Name (Legal Business Name): PHILIP ANDREW DURNEY JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2018
Last Update Date: 10/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 N FRANKLIN ST
WILMINGTON DE
19806-3123
US

IV. Provider business mailing address

1425 N FRANKLIN ST
WILMINGTON DE
19806-3123
US

V. Phone/Fax

Practice location:
  • Phone: 302-563-4562
  • Fax:
Mailing address:
  • Phone: 302-563-4562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: