Healthcare Provider Details

I. General information

NPI: 1699771279
Provider Name (Legal Business Name): MARIA E BARBE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 10/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E LAUREL BLVD POTTSVILLE
POTTSVILLE PA
17901-2534
US

IV. Provider business mailing address

201 E LAUREL BLVD POTTSVILLE
POTTSVILLE PA
17901-2534
US

V. Phone/Fax

Practice location:
  • Phone: 570-628-4444
  • Fax: 570-628-3088
Mailing address:
  • Phone: 570-628-4444
  • Fax: 570-628-3088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD068528L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: