Provider Demographics
NPI:1912970203
Name:BLAIR, BARBRA MCDONAGH (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBRA
Middle Name:MCDONAGH
Last Name:BLAIR
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Gender:F
Credentials:MD
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Mailing Address - Street 1:110 FRANCIS ST
Mailing Address - Street 2:SUITE GB
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5501
Mailing Address - Country:US
Mailing Address - Phone:617-632-7706
Mailing Address - Fax:617-632-7626
Practice Address - Street 1:110 FRANCIS ST
Practice Address - Street 2:SUITE GB
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5501
Practice Address - Country:US
Practice Address - Phone:617-632-7706
Practice Address - Fax:617-632-7626
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2017-01-20
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Provider Licenses
StateLicense IDTaxonomies
MA213278207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA36185Medicare PIN