Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 50986 | MA |
N | 208000000X | Pediatrician | 50986 | MA |
NPI | 1497739718 |
---|---|
Provider Name | Barbara Rose Pober |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
054849 | TUFTS HEALTH PLAN (01) | MA |
D88479 | (02) | |
J06850 | (05) | MA |
J06850 | BCBS MA (01) | MA |