Provider Demographics
NPI:1073572020
Name:BARZEL, EYAL (MD)
Entity Type:Individual
Prefix:
First Name:EYAL
Middle Name:
Last Name:BARZEL
Suffix:
Gender:M
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:PO BOX 416210
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6210
Mailing Address - Country:US
Mailing Address - Phone:610-644-8900
Mailing Address - Fax:484-924-0053
Practice Address - Street 1:207 KINGS HWY S
Practice Address - Street 2:#2
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-2508
Practice Address - Country:US
Practice Address - Phone:856-616-8600
Practice Address - Fax:856-616-8601
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD043976L2085R0204X
MDD00633192085R0204X
NJ25MA07833002085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5621801Medicaid
PA0012438090024Medicaid
PA179354Q1YMedicare PIN
PA0012438090024Medicaid
NJ087138PWFMedicare PIN