Individual
ELLY BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
216426
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
216426
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000016
—
MA
01
—
216426
TUFTS
—
01
—
J25822
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/02/2006
Last updated
08/13/2007
Update your record
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