Provider Demographics
NPI:1639340888
Name:DR.BARBARA RIEN DPM PA
Entity Type:Organization
Organization Name:DR.BARBARA RIEN DPM PA
Other - Org Name:DR. BARBARA RIEN DPM PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPM PA
Authorized Official - Phone:561-487-4200
Mailing Address - Street 1:9980 CENTRAL PARK BLVD N STE 120
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-1703
Mailing Address - Country:US
Mailing Address - Phone:561-487-4200
Mailing Address - Fax:561-487-4201
Practice Address - Street 1:9980 CENTRAL PARK BLVD N STE 120
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-1703
Practice Address - Country:US
Practice Address - Phone:561-487-4200
Practice Address - Fax:561-487-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1384213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4703420001Medicare NSC