Healthcare Provider Details

I. General information

NPI: 1407838972
Provider Name (Legal Business Name): PETER P BARCAS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1944 CORLIES AVE STE 206
NEPTUNE NJ
07753
US

IV. Provider business mailing address

1944 CORLIES AVE STE 206
NEPTUNE NJ
07753
US

V. Phone/Fax

Practice location:
  • Phone: 732-774-8282
  • Fax: 732-774-6816
Mailing address:
  • Phone: 732-774-8282
  • Fax: 732-774-6816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberMB50338
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: