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NPI Code Detail

MEDICARE: MR. BRUCE W. BARLAM M.D.

MEDICARE: MR. BRUCE W. BARLAM 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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician73684MA

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 : 1750380077
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRUCE W. BARLAM M.D.
Provider Business Mailing Address
First Line : 55 HIGHLAND AVENUE
Second Line : SUITE 203B
City : SALEM
State : MA
Zip : 01970-2100
Country : US
Telephone Number : 978-740-0406
Fax Number : 978-740-3012
Provider Business Practice Location Address
First Line : 55 HIGHLAND AVENUE
Second Line : SUITE 203B
City : SALEM
State : MA
Zip : 01970-2100
Country : US
Telephone Number : 978-740-0406
Fax Number : 978-740-3012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 04/18/2016

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