# DR. BARRY E LOSASSO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801871306
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | G41471 | CA | — |
| 2086S0120X | Pediatric Surgery Physician | 25MA9779600 | NJ | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 09/28/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G414710 | — | CA |
| 01 | — | 222615577 | PROVIDER TAX ID | NJ |
| 01 | — | 33-0642904 | PROVIDER TAX ID | CA |