Provider Demographics
NPI:1699700070
Name:GACH, BARRY N (MD)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:N
Last Name:GACH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 740177
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33474-0177
Mailing Address - Country:US
Mailing Address - Phone:561-740-2900
Mailing Address - Fax:561-740-2901
Practice Address - Street 1:1325 S CONGRESS AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426
Practice Address - Country:US
Practice Address - Phone:561-732-2900
Practice Address - Fax:561-734-9240
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME47981207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL044267400Medicaid
FL02260ZMedicare ID - Type Unspecified
FL044267400Medicaid