Individual
MICHELLE BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155
(781) 306-5100
Mailing address
26 CITY HALL MALL, MEDFORD, MA 02155
(781) 306-5100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
206499
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130681
—
MA
01
—
2613985
AETNA
MA
01
—
J23106
BLUE CROSS
MA
Enumeration date
12/21/2006
Last updated
10/21/2020
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