Provider Demographics
NPI:1194715623
Name:HOLBERT, BARBARA C (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:C
Last Name:HOLBERT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:294 WASHINGTON ST
Practice Address - Street 2:MGH DOWNTOWN NUMBER 210 DTN 210
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-4634
Practice Address - Country:US
Practice Address - Phone:617-728-6000
Practice Address - Fax:617-728-6040
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2010-09-02
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Provider Licenses
StateLicense IDTaxonomies
MA59511207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA059511OtherTUFTS HEALTH PLAN
MA3081877Medicaid
MAJ10697OtherBCBS MA
MA059511OtherTUFTS HEALTH PLAN
MAJ10697Medicare ID - Type Unspecified