Healthcare Provider Details

I. General information

NPI: 1841280765
Provider Name (Legal Business Name): JOSEPH JURAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 04/07/2020
Certification Date: 04/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 VERONICA DR
MARTINSBURG WV
25404-3756
US

IV. Provider business mailing address

37 VERONICA DR
MARTINSBURG WV
25404-3756
US

V. Phone/Fax

Practice location:
  • Phone: 304-264-4020
  • Fax: 304-264-4021
Mailing address:
  • Phone: 724-513-4881
  • Fax: 724-660-4233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number17328
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: