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Individual

DR. DAN H BAROUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
330 BROOKLINE AVE, RESEARCH EAST 113 BETH ISRAEL DEACONESS HOSPITAL, BOSTON, MA 02215-5400
(617) 667-4434
(617) 667-8210
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
210237
MA
207RI0200X
Infectious Disease Physician
Primary
210237
MA

Other

Enumeration date
11/08/2005
Last updated
04/28/2011
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