MEDICARE: DR. BARBARA E POGGIO

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	103T00000X	Psychologist	3521	MA

General Provider Information

NPI Number	:	1326661455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARBARA E POGGIO

Provider Business Mailing Address
First Line	:	685 CHARLES RIVER ST
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02492-1006
Country	:	US
Telephone Number	:	781-856-4530
Fax Number	:

Provider Business Practice Location Address
First Line	:	685 CHARLES RIVER ST
Second Line	:
City	:	NEEDHAM
State	:	MA
Zip	:	02492-1006
Country	:	US
Telephone Number	:	781-856-4530
Fax Number	:

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

Provider Enumeration Date	:	05/23/2020
Last Update Date	:	05/23/2020

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Directions to “ DR. BARBARA E POGGIO ” Practice Location

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