MEDICARE: DR. ROSALINE F BARRON 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
1	207RG0100X	Gastroenterology Physician	46488	MA

General Provider Information

NPI Number	:	1750479507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSALINE F BARRON MD

Provider Business Mailing Address
First Line	:	40 PUDDINGSTONE LN
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-3461
Country	:	US
Telephone Number	:	781-888-0036
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 PUDDINGSTONE LN
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02459-3461
Country	:	US
Telephone Number	:	781-888-0036
Fax Number	:

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	07/21/2022

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