Individual
MR. SAMUEL RUSSELL BARNARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8000
Mailing address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 624-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2335031
MA
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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