Provider Demographics
NPI:1356974505
Name:BAROUD, EVELYNE ANTOINE (MD)
Entity type:Individual
Prefix:
First Name:EVELYNE
Middle Name:ANTOINE
Last Name:BAROUD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2696
Mailing Address - Country:US
Mailing Address - Phone:617-726-1620
Mailing Address - Fax:617-726-9136
Practice Address - Street 1:MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-1620
Practice Address - Fax:617-726-9136
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program