Provider Demographics
NPI:1649360942
Name:BARLOW, BARBARA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:BARLOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:ANN
Other - Last Name:BARLOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M,D
Mailing Address - Street 1:39 COLUMBUS DR
Mailing Address - Street 2:PO BOX 580
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1619
Mailing Address - Country:US
Mailing Address - Phone:201-567-6611
Mailing Address - Fax:
Practice Address - Street 1:506 MALCOLM X BLVD
Practice Address - Street 2:SUITE 11-104
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1802
Practice Address - Country:US
Practice Address - Phone:212-939-3533
Practice Address - Fax:212-939-3536
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1019122086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery