Provider Demographics
NPI:1295909653
Name:ALICE D BARTON, MD, INC.
Entity type:Organization
Organization Name:ALICE D BARTON, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-760-5200
Mailing Address - Street 1:434 ROUTE 134
Mailing Address - Street 2:SUITE D1
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-3433
Mailing Address - Country:US
Mailing Address - Phone:508-760-5200
Mailing Address - Fax:508-760-5210
Practice Address - Street 1:434 ROUTE 134
Practice Address - Street 2:SUITE D1
Practice Address - City:SOUTH DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660-3433
Practice Address - Country:US
Practice Address - Phone:508-760-5200
Practice Address - Fax:508-760-5210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230151207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty