Provider Demographics
NPI:1821091232
Name:BAROWSKY, ROBERT THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:THOMAS
Last Name:BAROWSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340A NORTHEAST BLVD
Mailing Address - Street 2:JORDAN SHOPPING CENTER
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-2424
Mailing Address - Country:US
Mailing Address - Phone:910-592-5379
Mailing Address - Fax:910-592-5353
Practice Address - Street 1:340A NORTHEAST BLVD
Practice Address - Street 2:JORDAN SHOPPING CENTER
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2424
Practice Address - Country:US
Practice Address - Phone:910-592-5379
Practice Address - Fax:910-592-5353
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001-01520207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891308NMedicaid
NC2298092AMedicare ID - Type Unspecified
NC891308NMedicaid