Healthcare Provider Details

I. General information

NPI: 1730225095
Provider Name (Legal Business Name): DR. CHRISTINE MARIE DURAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 01/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 N CAROLINE ST
BALTIMORE MD
21287-0006
US

IV. Provider business mailing address

PO BOX 64264
BALTIMORE MD
21264-4264
US

V. Phone/Fax

Practice location:
  • Phone: 410-955-7963
  • Fax:
Mailing address:
  • Phone: 410-933-4397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberD70558
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: