Provider Demographics
NPI:1326007212
Name:DEGAR, BARBARA A (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:DEGAR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:DANA FARBER CANCER INSTITUTE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-6801
Mailing Address - Fax:617-632-4811
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:JIMMY FUND CLINIC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-6801
Practice Address - Fax:617-632-4811
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2127542080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
204304DOtherHPHC
53807OtherFALLON COMM HEALTH PLAN
000000026064OtherBMC HEALTHNET
MA0164046Medicaid
6831474OtherCIGNA
794526OtherTUFTS
MA0164046Medicaid
794526OtherTUFTS
53807OtherFALLON COMM HEALTH PLAN