Provider Demographics
NPI:1700934189
Name:BARRY, G CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:G
Middle Name:CURTIS
Last Name:BARRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 BEARSES WAY UNIT A4
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:508-771-4095
Mailing Address - Fax:508-771-9466
Practice Address - Street 1:489 BEARSES WAY UNIT A4
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-4095
Practice Address - Fax:508-771-9466
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA29716207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0135992Medicaid
MA7426OtherHAVARD PILGRIM
MAB48084OtherBCBS
MA029716OtherTUFTS
MA029716OtherTUFTS
MA7426OtherHAVARD PILGRIM