Basic Information
Provider Information
NPI: 1659514628
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARCARESE
FirstName: BARBARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2601 FALL HILL AVE
Address2: SUITE 300
City: FREDERICKSBURG
State: VA
PostalCode: 224013323
CountryCode: US
TelephoneNumber: 5403719696
FaxNumber: 5408999380
Practice Location
Address1: 111 FOUNDERS PLZ
Address2: SUITE 300
City: EAST HARTFORD
State: CT
PostalCode: 061083212
CountryCode: US
TelephoneNumber: 8602824022
FaxNumber: 8602820834
Other Information
ProviderEnumerationDate: 04/07/2009
LastUpdateDate: 11/10/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0101X046674CTY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology

No ID Information.


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