Provider Demographics
NPI:1396960977
Name:BARBOSA, ANNA (MD)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:BARBOSA
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 1:143 LONGWATER DR
Mailing Address - Street 2:SOUTH SHORE MEDICAL CENTER, INC.
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-1683
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:
Practice Address - Street 1:143 LONGWATER DR
Practice Address - Street 2:SOUTH SHORE MEDICAL CENTER, INC.
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1683
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA235728207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherTRICARE
MA497703OtherTUFTS HEALTH PLAN
MA042297845OtherUNICARE
MA1396960977Medicaid
MAAA121941OtherHARVARD PILGRIM
MA1396960977OtherFALLON HEALTH CARE
MA7628174OtherCIGNA HEALTH CARE
MAJ43672OtherBCBSMA
04-2297845OtherUNITED HEALTH CARE
042297845OtherMULTI-PLAN
MA497703OtherTUFTS MEDICARE PREFERRED
MA1396960977Medicaid