Healthcare Provider Details
I. General information
NPI: 1174798706
Provider Name (Legal Business Name): ERIN M BARTHEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/24/2008
Last Update Date: 09/09/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
282 WASHINGTON ST
HARTFORD CT
06106-3322
US
IV. Provider business mailing address
800 WASHINGTON ST TUFTS MEDICAL CENTER
BOSTON MA
02111-1552
US
V. Phone/Fax
- Phone: 860-837-9630
- Fax: 860-837-9622
- Phone: 617-636-5500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 259903 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0207X |
| Taxonomy | Pediatric Hematology & Oncology Physician |
| License Number | MD60722661 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: