Organization
MICHAEL R BARNETT MD LEASING LLC
Active
Organization
MICHAEL R BARNETT MD LEASING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA SOUZA (BILLING AGENT CEO)
(508) 548-8989
Entity
Organization
Contact information
Practice address
348 GIFFORD ST, FALMOUTH, MA 02540
(508) 540-5882
(508) 540-7328
Mailing address
PO BOX 905, FALMOUTH, MA 02541
(508) 548-8989
(508) 548-5789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M16547
BLUE CROSS
MA
Enumeration date
05/22/2007
Last updated
10/22/2014
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