Boston, Barry

Boston, Barry is an individual health care provider with primary practice located at 7945 Wolf River Blvd Suite 300, Germantown TN 38138-1762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Boston, Barry can be contacted via phone (901) 767-4520.

Contact Information

Primary practice address
7945 Wolf River Blvd Suite 300 Germantown TN 38138-1762
Phone: (901) 767-4520
Fax: (901) 684-2515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 10091 Tennessee
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 16847 Mississippi

Profile Details

NPI number 1962402107
LBN Legal business name Boston, Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Oct 5th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962402107 NPPES
Arkansas MEDICAID 101748001
Arkansas Other 4020364
Arkansas Other 2004579
Arkansas Other 2694685
Arkansas MEDICAID 00123757
Arkansas Other 119722
Arkansas MEDICAID 3163546
Arkansas Other 3000094

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