Provider Demographics
NPI:1497816631
Name:BARBIER, ANDREA (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:
Last Name:BARBIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-5902
Mailing Address - Country:US
Mailing Address - Phone:973-743-9744
Mailing Address - Fax:973-743-9745
Practice Address - Street 1:135 BLOOMFIELD AVE
Practice Address - Street 2:SUITE D
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-5902
Practice Address - Country:US
Practice Address - Phone:973-743-9744
Practice Address - Fax:973-743-9745
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB60528207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG40245Medicare UPIN