Individual
DR. ELIZABETH ANN BARKOUDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, FEGAN 11, BOSTON, MA 02115-5724
(617) 355-6388
Mailing address
11 GROVENOR RD, APT 3, JAMAICA PLAIN, MA 02130-2515
(617) 435-9108
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
231486
MA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
231486
MA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
231486
MA
Other
Enumeration date
05/31/2007
Last updated
04/14/2014
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