Individual
BARBARA BYSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1153 CENTRE ST, RADIOLOGY FAULKNER HOSPITAL, BOSTON, MA 02130
(617) 983-7090
(617) 983-7091
Mailing address
1153 CENTRE ST, RADIOLOGY FAULKNER HOSPITAL, BOSTON, MA 02130
(617) 983-7090
(617) 983-7091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
48870
MA
2085R0204X
Vascular & Interventional Radiology Physician
48870
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034500
—
MA
01
—
735971
TUFTS
MA
01
—
J07455
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
01/20/2006
Last updated
10/09/2012
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