Individual
DR. CARLOS I DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, TUFTS MEDICAL CENTER, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-5000
Mailing address
800 WASHINGTON ST, TUFTS MEDICAL CENTER, BOSTON, MA 02111-1552
(617) 636-5000
(617) 636-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
210408
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
210408
MA
2080P0214X
Pediatric Pulmonology Physician
210408
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190900
—
MA
01
—
408837
TUFTS HEALTH PLAN
MA
01
—
J24552
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
04/08/2014
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