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NPI Code Detail

MEDICARE: MARILYN A BARKER MD

MEDICARE: MARILYN A BARKER MD
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
12080A0000XPediatric Adolescent Medicine Physician137481NY

General Provider Information

NPI Number : 1528063039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN A BARKER MD
Provider Business Mailing Address
First Line : 94 OLEAN ST
Second Line : STE 210
City : EAST AURORA
State : NY
Zip : 14052-2531
Country : US
Telephone Number : 716-652-0237
Fax Number : 716-652-0983
Provider Business Practice Location Address
First Line : 94 OLEAN ST
Second Line : STE 210
City : EAST AURORA
State : NY
Zip : 14052-2531
Country : US
Telephone Number : 716-652-0237
Fax Number : 716-652-0983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/08/2007

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Directions to “ MARILYN A BARKER MD” Practice Location

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