Individual
DR. BARBARA F BANNER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
119 BELMONT ST, DEPARTMENT OF ANATOMIC PATHOLOGY, WORCESTER, MA 01605-2903
(508) 334-8689
Mailing address
PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 01545-0062
(508) 334-8815
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
74669
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081427
—
MA
Enumeration date
12/02/2005
Last updated
07/08/2007
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