Provider Demographics
NPI:1750838272
Name:BARBARA MESSINEO MD OTHOPEDIC SURGERY AND SPORTS MEDICINE
Entity Type:Organization
Organization Name:BARBARA MESSINEO MD OTHOPEDIC SURGERY AND SPORTS MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSINEO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:781-729-6784
Mailing Address - Street 1:8 WINCHESTER PL
Mailing Address - Street 2:STE 102
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-2854
Mailing Address - Country:US
Mailing Address - Phone:781-729-6784
Mailing Address - Fax:781-729-3066
Practice Address - Street 1:8 WINCHESTER PLACE
Practice Address - Street 2:STE 102
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890
Practice Address - Country:US
Practice Address - Phone:781-729-6784
Practice Address - Fax:781-729-3066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA73768174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAE85760Medicare PIN