Provider Demographics
NPI:1396763801
Name:BARRY, JEAN J (MD)
Entity type:Individual
Prefix:
First Name:JEAN
Middle Name:J
Last Name:BARRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:86 BAKER AVENUE EXT
Mailing Address - Street 2:SUITE 307
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2132
Mailing Address - Country:US
Mailing Address - Phone:978-238-8172
Mailing Address - Fax:978-341-8370
Practice Address - Street 1:86 BAKER AVENUE EXT
Practice Address - Street 2:SUITE 307
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2132
Practice Address - Country:US
Practice Address - Phone:978-238-8172
Practice Address - Fax:978-341-8370
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2016-11-18
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Provider Licenses
StateLicense IDTaxonomies
MA216563207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine