Provider Demographics
NPI:1528205630
Name:DESHAW, BARBARA B (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:B
Last Name:DESHAW
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 1:3 EDWARDS PL
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2911
Mailing Address - Country:US
Mailing Address - Phone:973-376-9664
Mailing Address - Fax:
Practice Address - Street 1:3 EDWARDS PL
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2911
Practice Address - Country:US
Practice Address - Phone:973-376-9664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA070966207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine