Provider Demographics
NPI:1568412906
Name:CHAIKEN, BARRY PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:PAUL
Last Name:CHAIKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14 DURHAM ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5301
Mailing Address - Country:US
Mailing Address - Phone:617-536-1372
Mailing Address - Fax:603-971-6993
Practice Address - Street 1:14 DURHAM ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5301
Practice Address - Country:US
Practice Address - Phone:617-536-1372
Practice Address - Fax:603-971-6993
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA550572083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine