Provider Demographics
NPI:1538126610
Name:SEGAL, BARRY SCOTT (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:SCOTT
Last Name:SEGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SCOTT
Other - Middle Name:
Other - Last Name:SEGAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST # 298
Mailing Address - Street 2:TUFTS MEDICAL CENTER, DEPT. ANESTHESIOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-9301
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST # 298
Practice Address - Street 2:TUFTS MEDICAL CENTER, DEPT. ANESTHESIOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-9301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA75656207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology