Provider Demographics
NPI:1609058460
Name:DAVID T. BARRALL MD, INC
Entity Type:Organization
Organization Name:DAVID T. BARRALL MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:BARRALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-524-3600
Mailing Address - Street 1:151 WATERMAN ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2118
Mailing Address - Country:US
Mailing Address - Phone:401-274-0700
Mailing Address - Fax:401-274-0715
Practice Address - Street 1:151 WATERMAN ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2118
Practice Address - Country:US
Practice Address - Phone:401-274-0700
Practice Address - Fax:401-274-0715
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI60602082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Single Specialty