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Individual

ERIC P BARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 346-7797
(570) 342-9802
Mailing address
11781 LEE JACKSON MEMORIAL HWY, SUITE 550, FAIRFAX, VA 22033-3309
(571) 777-5102
(703) 563-6256

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS006818L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012874650009
PA
01
050019532
RR MEDICARE
PA
Enumeration date
11/25/2005
Last updated
05/20/2016
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