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NPI Code Detail

MEDICARE: MATTHEW J. BARRETT M.D.

MEDICARE: MATTHEW J. BARRETT 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
12084N0400XNeurology Physician0101251297VA

General Provider Information

NPI Number : 1982816757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW J. BARRETT M.D.
Provider Business Mailing Address
First Line : PO BOX 91734
Second Line :
City : RICHMOND
State : VA
Zip : 23291-1734
Country : US
Telephone Number : 804-358-6100
Fax Number : 804-342-7619
Provider Business Practice Location Address
First Line : 11958 W BROAD ST
Second Line :
City : HENRICO
State : VA
Zip : 23233-1007
Country : US
Telephone Number : 804-828-9350
Fax Number : 804-364-6521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2007
Last Update Date : 02/04/2020

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