Individual
REBECCA A VON BARTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Mailing address
10 GOVE ST, EAST BOSTON, MA 02128-1920
(617) 569-5800
(617) 568-4780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
261930
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0710563
—
MA
Enumeration date
11/08/2006
Last updated
01/28/2008
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