Provider Demographics
NPI:1649244344
Name:BARKER, FREDERICK GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:GEORGE
Last Name:BARKER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-8772
Mailing Address - Fax:617-726-3365
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:YAW 9E
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-8772
Practice Address - Fax:617-724-8769
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2012-11-29
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Provider Licenses
StateLicense IDTaxonomies
MA75156207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3085601Medicaid
MA724881OtherTUFTS HEALTH PLAN
MAJ11857OtherBCBS MA
MAJ11857OtherBCBS MA
F08047Medicare UPIN