Individual
DR. DUANE SIDNEY PINTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DEACONESS RD, PALMER 415, BOSTON, MA 02215-5321
(617) 632-7483
(617) 632-7460
Mailing address
1 DEACONESS RD, PALMER 415, BOSTON, MA 02215-5321
(617) 632-7483
(617) 632-7460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
157621
MA
207RC0000X
Cardiovascular Disease Physician
157621
MA
207RI0011X
Interventional Cardiology Physician
157621
MA
207RI0011X
Interventional Cardiology Physician
Primary
C193034
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157621
STATE LICENSE
MA
05
—
3201686
—
MP
01
—
MP0338562A
MA CONTROLLED SUBSTANCE
MA
Enumeration date
10/13/2005
Last updated
11/18/2024
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