Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 272164 | NY |
NPI | 1174899074 |
---|---|
Provider Name | Oliver Mullin Barry |
First Address | Boston, MA 02115-5724 |
Second Address | New York, NY 10032-1559 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2012 |
Last Update Date | 07/08/2019 |