Provider Demographics
NPI:1801868757
Name:PAUL, BARRY STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:STEPHEN
Last Name:PAUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:22 MILL ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4784
Mailing Address - Country:US
Mailing Address - Phone:781-643-0500
Mailing Address - Fax:781-648-8509
Practice Address - Street 1:22 MILL ST
Practice Address - Street 2:SUITE 310
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4784
Practice Address - Country:US
Practice Address - Phone:781-643-0500
Practice Address - Fax:781-648-8509
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-05
Last Update Date:2011-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA46307207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9770194Medicaid
B73591Medicare UPIN
MA9770194Medicaid