Provider Demographics
NPI:1801961735
Name:SEAGLE, BARBARA MACKEY (MD)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:MACKEY
Last Name:SEAGLE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:850 BOYLSTON STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHESTNUT MILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2402
Mailing Address - Country:US
Mailing Address - Phone:617-731-0200
Mailing Address - Fax:617-731-0289
Practice Address - Street 1:850 BOYLSTON STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:CHESTNUT MILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2402
Practice Address - Country:US
Practice Address - Phone:617-731-0200
Practice Address - Fax:617-731-0289
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2011-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA72807208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3062082Medicaid
MA3062082Medicaid