Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 1087583 | MD |
NPI | 1013179761 |
---|---|
Provider Name | Dr. Benjamin J Barnes |
First Address | Springfield, MA 01107-1270 |
Second Address | Springfield, MA 01199-1001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2008 |
Last Update Date | 02/04/2015 |