Provider Demographics
NPI:1497739718
Name:POBER, BARBARA ROSE (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ROSE
Last Name:POBER
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:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:185 CAMBRIDGE ST, RM 222
Practice Address - Street 2:PARTNERS CENTER FOR HUMAN GENETICS
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2517
Practice Address - Country:US
Practice Address - Phone:617-726-1561
Practice Address - Fax:617-726-1566
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50986207SC0300X, 207SG0201X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics
Not Answered207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ06850Medicaid
MAJ06850OtherBCBS MA
MA054849OtherTUFTS HEALTH PLAN
MAJ06850Medicare ID - Type Unspecified
MAJ06850Medicaid