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NPI Code Detail

MEDICARE: DR. GEORGE A DURST M.D.

MEDICARE:  DR. GEORGE A DURST  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianD0059914MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20009OTHERDCBCBS BLUECHOICE

General Provider Information

NPI Number : 1265470876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE A DURST M.D.
Provider Business Mailing Address
First Line : 3290 N RIDGE RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-3655
Country : US
Telephone Number : 410-801-2273
Fax Number : 410-385-9319
Provider Business Practice Location Address
First Line : 3290 N RIDGE RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-3655
Country : US
Telephone Number : 410-801-2273
Fax Number : 410-385-9319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 09/04/2025

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Directions to “ DR. GEORGE A DURST M.D.” Practice Location

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