Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 25MD00236900 | NJ |
N | 222Z00000X | Podiatrist | 25MD00236900 | NJ |
Y | 213ES0103X | Foot & Ankle Surgery | 0103301157 | VA |
N | 213ES0131X | Foot Surgery | 0103301157 | VA |
NPI | 1154416352 |
---|---|
Provider Name | Marc A Barbella |
First Address | Suffolk, VA 23434-4507 |
Second Address | Suffolk, VA 23434-4507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 22/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7899700 | (05) | NJ |
U73627 | (02) |