Provider Demographics
NPI:1033116140
Name:DEUELL, BARBARA (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:DEUELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 GRIFFIN RD A
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7158
Mailing Address - Country:US
Mailing Address - Phone:603-436-7897
Mailing Address - Fax:603-436-7855
Practice Address - Street 1:100 GRIFFIN RD
Practice Address - Street 2:SUITE A
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7113
Practice Address - Country:US
Practice Address - Phone:603-436-7897
Practice Address - Fax:603-436-7855
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH85872080P0201X, 207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30004413Medicaid
NH0106050Y0NH01OtherANTHEM OF NH ID #
NHE96871Medicare UPIN
NH0106050Y0NH01OtherANTHEM OF NH ID #