Provider Demographics
NPI:1003820176
Name:DUNN, ALBERT ALFRED III (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ALFRED
Last Name:DUNN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:120 W CENTER ST
Mailing Address - Street 2:SUITE#3
Mailing Address - City:W BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1600
Mailing Address - Country:US
Mailing Address - Phone:508-584-0600
Mailing Address - Fax:508-584-4186
Practice Address - Street 1:120 W CENTER ST
Practice Address - Street 2:SUITE#3
Practice Address - City:W BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379-1600
Practice Address - Country:US
Practice Address - Phone:508-584-0600
Practice Address - Fax:508-584-4186
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA047193207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000024646OtherBMC
110004277OtherRRM
495450OtherUS
B10133901OtherCIGNA
047193OtherTUFT HEALTH PLAN
N01910OtherBLUE CROSS BLUE SHIELD
602383200OtherDOL
61513OtherHARVARD PILGRIM
MA0155659Medicaid
0403425OtherUNITED HEALTH CARE
626879OtherANTH
MA0155659Medicaid