MEDICARE: G CURTIS BARRY MD PC DBA MID CAPE MEDICAL CENTER

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	173000000X	Legal Medicine	29716	MA

General Provider Information

NPI Number	:	1780982975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G CURTIS BARRY MD PC DBA MID CAPE MEDICAL CENTER

Provider Business Mailing Address
First Line	:	489 BEARSES WAY
Second Line	:	UNIT A-4
City	:	HYANNIS
State	:	MA
Zip	:	02601-2707
Country	:	US
Telephone Number	:	508-771-4095
Fax Number	:

Provider Business Practice Location Address
First Line	:	489 BEARSES WAY
Second Line	:	UNIT A-4
City	:	HYANNIS
State	:	MA
Zip	:	02601-2707
Country	:	US
Telephone Number	:	508-771-4095
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. G CURTIS BARRY
Credential	:	MD
Telephone Number	:	508-771-4095

Provider Enumeration Date	:	03/11/2011
Last Update Date	:	03/11/2011

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