Individual
JOHN BARRAVECCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 HOUSTON AVE, MILTON, MA 02186
(617) 364-4380
(617) 364-7363
Mailing address
35 UNITED DR STE 102, WEST BRIDGEWATER, MA 02379-1027
(508) 238-8646
(508) 230-9772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049287
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116793
—
MA
Enumeration date
09/26/2006
Last updated
07/20/2018
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