MEDICARE: DR. GREGORY SAMUEL BARBA BARBER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	2084P0800X	Psychiatry Physician	D89322	MD

General Provider Information

NPI Number	:	1043714561
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY SAMUEL BARBA BARBER MD

Provider Business Mailing Address
First Line	:	6270 MONTROSE RD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-4119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6270 MONTROSE RD
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-4119
Country	:	US
Telephone Number	:	410-960-7272
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2018
Last Update Date	:	09/26/2022

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