Individual
BARBARA CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2461
Mailing address
129 WOODWARD ST, NEWTON, MA 02461-1312
(617) 767-9064
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
79302
MA
Other
Enumeration date
06/07/2006
Last updated
05/30/2023
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