Provider Demographics
NPI:1164571741
Name:BARTH, JOSEPH JOHN III (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JOHN
Last Name:BARTH
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 HOSPITAL RD STE 310
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-4041
Mailing Address - Country:US
Mailing Address - Phone:410-535-2005
Mailing Address - Fax:410-535-4850
Practice Address - Street 1:110 HOSPITAL RD STE 310
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4041
Practice Address - Country:US
Practice Address - Phone:410-535-2005
Practice Address - Fax:410-535-4850
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD52242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2148224OtherAETNA HMO PCP
MD4461101OtherAETNA NON-HMO PCP
MD54593701OtherCAREFIRST OF MARYLAND
MD849934OtherMAMSI HMO PCP
MD678540900Medicaid
MD110146591OtherRAILROAD MEDICARE
DCC0410019OtherCAREFIRST OF DC
MD022L904TMedicare ID - Type UnspecifiedMEDICARE #
MD849934OtherMAMSI HMO PCP