Healthcare Provider Details

I. General information

NPI: 1700809142
Provider Name (Legal Business Name): BERNARD J DURANTE MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 03/27/2020
Certification Date: 03/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COUNTY RD
BOURNE MA
02532-3756
US

IV. Provider business mailing address

30 ALDRIN RD
PLYMOUTH MA
02360-4804
US

V. Phone/Fax

Practice location:
  • Phone: 508-759-0916
  • Fax: 508-759-0995
Mailing address:
  • Phone: 508-746-8977
  • Fax: 508-747-9680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173F00000X
TaxonomySleep Specialist (PhD)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. BERNARD JOSEPH DURANTE
Title or Position: PRESIDENT
Credential: MD
Phone: 508-759-0916