Individual
MARY KAVANAGH BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 WORCESTER ST, INTERNAL MEDICINE, WELLESLEY, MA 02481-5420
(781) 431-5220
(781) 431-5371
Mailing address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5220
(781) 431-5526
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79150
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079150
TUFTS
MA
05
—
3185648
—
MA
01
—
J31749
BLUE CROSS
MA
01
—
PV595
HARVARD PILGRIM
MA
Enumeration date
01/30/2006
Last updated
10/22/2020
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