Individual
BART LOUIS MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
460 W MAIN ST, HYANNIS, MA 02601-3653
(508) 862-5504
(508) 790-3304
Mailing address
460 W MAIN ST, HYANNIS, MA 02601-3653
(508) 862-5504
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
238225
MA
2084P0804X
Child & Adolescent Psychiatry Physician
24451
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366305100
—
MN
Enumeration date
09/16/2006
Last updated
03/23/2017
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