Provider Demographics
NPI:1861458515
Name:BARON, REBECCA MARLENE (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:MARLENE
Last Name:BARON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:75 FRANCIS STREET PBB CLINICS 3
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL PULMONARY DIVISION
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-7420
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET PBB CLINICS 3
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL PULMONARY DIVISION
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-7420
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA150708207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease