Doctor Name: | TERESA BAROUS |
NPI Number: | 1467595934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 101378 |
Business Practice Address: | 15 Railroad Ave South Hamilton, MA - 019822218 |
Business Phone Number: | 9784687381 |
Business Fax Number: | 9784686020 |
Mailing Address: | 15 Railroad Ave, SOUTH HAMILTON |
State: | MA |
Postal Code: | 019822218 |
Phone Number: | 9784687381 |
Fax Number: | 9784686020 |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 101378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |