Organization
BARNETT MEDICAL ASSOCIATES,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINALD A BARNETT MD (PRESIDENT)
(617) 306-3677
Entity
Organization
Contact information
Practice address
745 RIVER ST, MATTAPAN, MA 02126-1941
(617) 364-0222
(617) 364-3470
Mailing address
745 RIVER ST, MATTAPAN, MA 02126-1941
(617) 364-0222
(617) 364-3470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
59479
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3056597
—
MA
01
—
65492
HPHC
MA
01
—
778089
USHEALTHCARE
MA
Enumeration date
06/25/2006
Last updated
08/22/2020
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