Individual
FINA CANAS BAROUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ESSEX CENTER DR, LAHEY CLINIC, PEABODY, MA 01960-2901
(978) 538-4400
(978) 538-4724
Mailing address
1 ESSEX CENTER DR, LAHEY CLINIC, PEABODY, MA 01960-2901
(978) 538-4400
(978) 538-4724
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
220431
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
220431
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110038682A
—
MA
Enumeration date
12/01/2005
Last updated
06/24/2021
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