Provider Demographics
NPI:1952515181
Name:ALBERT R. DUARTE, D.M.D., P.C.
Entity type:Organization
Organization Name:ALBERT R. DUARTE, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:DUARTE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-547-7100
Mailing Address - Street 1:2130 MASSACHUSETTS AVE
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1927
Mailing Address - Country:US
Mailing Address - Phone:617-547-7100
Mailing Address - Fax:617-547-3030
Practice Address - Street 1:2130 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 1A
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1927
Practice Address - Country:US
Practice Address - Phone:617-547-7100
Practice Address - Fax:617-547-3030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2015-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15146261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental