Provider Demographics
NPI:1427048503
Name:NATH, BARBARA JOYCE (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JOYCE
Last Name:NATH
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:617-726-3505
Mailing Address - Fax:617-724-5996
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:GASTROENTEROLOGY ASSOCIATES BLK 4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-3505
Practice Address - Fax:617-724-5996
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2012-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA45566207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0172642Medicaid
MAE05816OtherBCBS MA
MA708940OtherTUFTS HEALTH PLAN
MA0172642Medicaid
B73845Medicare UPIN