Provider Demographics
NPI:1912008665
Name:VALLONE, BARBARA ANN TERESA
Entity Type:Individual
Prefix:MRS
First Name:BARBARA ANN
Middle Name:TERESA
Last Name:VALLONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 GALE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267
Mailing Address - Country:US
Mailing Address - Phone:413-458-2643
Mailing Address - Fax:413-458-0961
Practice Address - Street 1:1 BERKSHIRE SQUARE
Practice Address - Street 2:CATARACT & LASER ASSOC
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220
Practice Address - Country:US
Practice Address - Phone:413-743-9934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA241822163W00000X
MA040625367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered