Healthcare Provider Details

I. General information

NPI: 1376283465
Provider Name (Legal Business Name): DR. PETER BENJAMIN ALBARES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 05/25/2025
Certification Date: 05/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 ERWIN RD
DURHAM NC
27710-4699
US

IV. Provider business mailing address

600 IVY MEADOW LN APT 1B
DURHAM NC
27707-6194
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-4022
  • Fax:
Mailing address:
  • Phone: 985-264-7417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2025-00582
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: