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NPI Code Detail

MEDICARE: BERNARD J DURANTE MD PC

MEDICARE: BERNARD J DURANTE MD PC
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
1207KI0005XClinical & Laboratory Immunology (Allergy & Immunology) Physician58069MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2M17916OTHERMABLUECROSS BLUESHIELD
3711390OTHERMATUFTS HEALTH PLAN
42652138OTHERMAAETNA
51000029OTHERMAUNITED HEALTH CARE
619073OTHERMAHARVARD PILGRIM HEALTH

General Provider Information

NPI Number : 1114024312
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERNARD J DURANTE MD PC
Provider Business Mailing Address
First Line : 30 ALDRIN RD
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-4804
Country : US
Telephone Number : 508-746-8977
Fax Number : 508-746-3364
Provider Business Practice Location Address
First Line : 30 ALDRIN RD
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-4804
Country : US
Telephone Number : 508-746-8977
Fax Number : 508-746-3364
Authorized Official
Title or Position : PRESIDENT
Name : DR. BERANRD JOSEPH DURANTE
Credential : MD
Telephone Number : 508-746-8977
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/01/2019

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