Provider Demographics
NPI:1841388360
Name:AUERBACH, BARRY SETH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:SETH
Last Name:AUERBACH
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7912 HAMPTON ARBOR CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-1971
Mailing Address - Country:US
Mailing Address - Phone:804-639-0868
Mailing Address - Fax:804-744-9521
Practice Address - Street 1:4902 MILLRIDGE PKWY E
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-4828
Practice Address - Country:US
Practice Address - Phone:804-744-1231
Practice Address - Fax:804-744-9521
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101058250208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
E46925Medicare UPIN