MEDICARE: BARRY A MCNAMARA M.D.

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	207W00000X	Ophthalmology Physician	A24299	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ47199A	OTHER	CA	BLUE SHIELD GROUP #
2	013652	OTHER	CA	HILL PHYSICIANS #

General Provider Information

NPI Number	:	1922006071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY A MCNAMARA M.D.

Provider Business Mailing Address
First Line	:	1440 SOUTHGATE AVE
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-2246
Country	:	US
Telephone Number	:	650-992-1300
Fax Number	:	650-992-8391

Provider Business Practice Location Address
First Line	:	1440 SOUTHGATE AVE
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-2246
Country	:	US
Telephone Number	:	650-992-1300
Fax Number	:	650-992-8391

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	06/10/2008

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