Jon M Durica, MD Valid NPI

Individual provider · Pediatrics Physician · Stamford, CT

NPI

1205901378

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

032876 (CT)

Sex

Male

Sole proprietor

No

Enumerated

2006-11-22

Last updated

2007-07-08