MEDICARE: DANIEL N DURAN 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
1	207Q00000X	Family Medicine Physician	MD419681	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2075601000	OTHER	PA	KEYSTONE/PERSONAL CHOICE

General Provider Information

NPI Number	:	1467412700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL N DURAN M.D.

Provider Business Mailing Address
First Line	:	900 W BALTIMORE PIKE
Second Line	:	SUITE 200
City	:	WEST GROVE
State	:	PA
Zip	:	19390-9313
Country	:	US
Telephone Number	:	610-869-4627
Fax Number	:	610-869-8407

Provider Business Practice Location Address
First Line	:	900 W BALTIMORE PIKE
Second Line	:	SUITE 200
City	:	WEST GROVE
State	:	PA
Zip	:	19390-9313
Country	:	US
Telephone Number	:	610-869-4627
Fax Number	:	610-869-8407

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	04/07/2014

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Directions to “ DANIEL N DURAN M.D.” Practice Location

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