Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 233893 | MA |
N | 207VX0000X | Obstetrician | 1798 | ME |
NPI | 1366542326 |
---|---|
Provider Name | Dr. Barbara M Gleason |
First Address | Brewster, MA 02631-2120 |
Second Address | Brewster, MA 02631-2120 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 10/03/2014 |