MEDICARE: BARRY AUSTIN 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
1	207R00000X	Internal Medicine Physician	OS-004542L	PA

General Provider Information

NPI Number	:	1700856382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARRY AUSTIN M.D.

Provider Business Mailing Address
First Line	:	155 ELM GROVE DR
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3205
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 ELM GROVE DR
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3205
Country	:	US
Telephone Number	:	412-854-2090
Fax Number	:

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	09/04/2024

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