Basic Information
Provider Information
NPI: 1285836015
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBIERI
FirstName: JENNIE
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 241 S 6TH ST
Address2: SUITE 1303
City: PHILADELPHIA
State: PA
PostalCode: 191063727
CountryCode: US
TelephoneNumber: 2158804218
FaxNumber:  
Practice Location
Address1: 2301 COLUMBIA AVE
Address2:  
City: LANCASTER
State: PA
PostalCode: 176034154
CountryCode: US
TelephoneNumber: 7173972738
FaxNumber: 7173977634
Other Information
ProviderEnumerationDate: 06/04/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD431617PAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home