Provider Demographics
NPI:1154515708
Name:PITTMAN, BARRY MICHAEL
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:MICHAEL
Last Name:PITTMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COAST GUARD ISLAND BLDG 42
Mailing Address - Street 2:USCGC MORGENTHAU (WHEC-722)
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5100
Mailing Address - Country:US
Mailing Address - Phone:510-437-3981
Mailing Address - Fax:510-437-3521
Practice Address - Street 1:COAST GUARD ISLAND BLDG 42
Practice Address - Street 2:USCGC MORGENTHAU (WHEC-722)
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-5100
Practice Address - Country:US
Practice Address - Phone:510-437-3981
Practice Address - Fax:510-437-3521
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other