Barest, Glenn D

Barest, Glenn D is an individual health care provider with primary practice located at 840 Harrison Ave , Boston MA 02118-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Barest, Glenn D can be contacted via phone (617) 638-6610.

Contact Information

Primary practice address
840 Harrison Ave Boston MA 02118-2905
Phone: (617) 638-6610
Fax: (617) 638-6616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 150956 Massachusetts

Profile Details

NPI number 1326015967
LBN Legal business name Barest, Glenn D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Feb 11th, 2022 - about 4 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 1326015967 NPPES
Massachusetts MEDICAID 110057222A

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