Provider Demographics
NPI:1285697664
Name:JOSEPHS, BARRY (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:JOSEPHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 SISTER PIERRE DRIVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204
Mailing Address - Country:US
Mailing Address - Phone:410-337-2021
Mailing Address - Fax:410-296-9243
Practice Address - Street 1:120 SISTER PIERRE DRIVE
Practice Address - Street 2:SUITE 304
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-337-2021
Practice Address - Fax:410-296-9243
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD26637207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD41574401OtherCAREFIRST INDIV NMBR
MD10001OtherCAREFIRST DC INDIVID NMBR
MDMD301901200Medicaid
MDS334HAOtherCAREFIRST GRP NUMBER
MDT4440001OtherCAREFIRST DC GROUP NMBR
MDS334HAOtherCAREFIRST GRP NUMBER
MDS334C918Medicare ID - Type Unspecified