Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 01305 | MD |
NPI | 1003916164 |
---|---|
Provider Name | Mitchell A Barber |
First Address | Monkton, MD 21111-0374 |
Second Address | Laurel, MD 20707-5264 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 13/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001/F751 | CAREFIRST BC/FEDERAL (01) | |
607091/KBU5MI | CAREFIRST BC/BS (01) | |
U81209 | (02) |