Provider Demographics
NPI:1699832352
Name:GARSON, BARBARA ANN (RN, MSN, CS)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:GARSON
Suffix:
Gender:F
Credentials:RN, MSN, CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 SAINT MARYS ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1019
Mailing Address - Country:US
Mailing Address - Phone:617-332-3080
Mailing Address - Fax:617-965-5634
Practice Address - Street 1:53 LANGLEY RD
Practice Address - Street 2:SUITE 350
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-1913
Practice Address - Country:US
Practice Address - Phone:617-332-3080
Practice Address - Fax:617-965-5634
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA163168364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAGANS0051Medicare ID - Type Unspecified