JON M DURICA MD NPI 1205901378

NPI Information

NPI: 1205901378
Provider Name: JON M DURICA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1275 SUMMER ST
SUITE 301
STAMFORD, CT
ZIP 06905
Phone: (203) 324-4100
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Jon M Durica, MD is a pediatrics in Stamford, CT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Jon M Durica, MD NPI is 1205901378. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1275 SUMMER ST
SUITE 301
STAMFORD, CT
ZIP 06905-359
Phone: (203) 324-4100
Fax: (203) 324-8539

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		032876	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4344937	OTHER	CONNECTICUT	AETNA
2	010032876CT01	OTHER	CONNECTICUT	BLUE CROSS-STAMFORD
3	010032876CT02	OTHER	CONNECTICUT	BLUE CROSS-DARIEN
4	10444182	OTHER	CONNECTICUT	CAQH
5	00634R	MEDICARE UPIN	CONNECTICUT
6	022213	OTHER	CONNECTICUT	HEALTHNET
7	ZP302	OTHER	CONNECTICUT	OXFORD
8	703287	OTHER	CONNECTICUT	CONNECTICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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