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NPI Code Detail

MEDICARE: ALAN BARKER M.D.

MEDICARE: ALAN BARKER 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
1207Q00000XFamily Medicine Physician015060ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518900422
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN BARKER M.D.
Provider Business Mailing Address
First Line : PO BOX 745
Second Line :
City : NEWCASTLE
State : ME
Zip : 04553-0745
Country : US
Telephone Number : 207-563-4146
Fax Number : 207-563-4103
Provider Business Practice Location Address
First Line : 19 SAINT ANDREWS LN
Second Line :
City : BOOTHBAY HARBOR
State : ME
Zip : 04538-1732
Country : US
Telephone Number : 207-633-7820
Fax Number : 207-563-4103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/16/2011

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