Provider Demographics
NPI:1841254679
Name:HEALEY, BARBARA M (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:M
Last Name:HEALEY
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 1:2014 WASHINGTON ST
Mailing Address - Street 2:NEW ENGLAND HEMATOLOGY ONCOLOGY
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1607
Mailing Address - Country:US
Mailing Address - Phone:617-658-6000
Mailing Address - Fax:617-658-6001
Practice Address - Street 1:2014 WASHINGTON ST
Practice Address - Street 2:NEW ENGLAND HEMATOLOGY ONCOLOGY
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1607
Practice Address - Country:US
Practice Address - Phone:617-658-6000
Practice Address - Fax:617-658-6001
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50296207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110064926AMedicaid
MA001367201Medicare UPIN
MA001367201Medicare PIN