MEDICARE: DR. BERNARD JOSEPH DURANTE MD

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
1	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician	58069	MA
2	207YX0602X	Otolaryngic Allergy Physician	58069	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	040016605	OTHER	MA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	19073	OTHER	MA	HARVARD PILGRIM HEALTH
3	2652138	OTHER	MA	AETNA
4	043585201	OTHER	MA	HEALTHCAREVALUEMANAGEMENT
6	711390	OTHER	MA	TUFTS HEALTH PLAN
7	B20014301	OTHER	MA	CIGNA
8	J06669	OTHER	MA	BLUECROSSBLUESHIELD
9	1000029	OTHER	MA	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1164400040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BERNARD JOSEPH DURANTE MD

Provider Business Mailing Address
First Line	:	30 ALDRIN ROAD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360
Country	:	US
Telephone Number	:	508-746-8977
Fax Number	:	508-746-3364

Provider Business Practice Location Address
First Line	:	30 ALDRIN ROAD
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360
Country	:	US
Telephone Number	:	508-746-8977
Fax Number	:	508-746-3364

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	07/31/2017

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Directions to “ DR. BERNARD JOSEPH DURANTE MD” Practice Location

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