Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD03842 | RI |
NPI | 1013172527 |
---|---|
Provider Name | Michael Scanlan Barrett |
First Address | Barrington, RI 02806-2504 |
Second Address | Barrington, RI 02806-2504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2008 |
Last Update Date | 23/07/2008 |