Provider Demographics
NPI:1053388207
Name:GENE M BARRIE MD INC
Entity type:Organization
Organization Name:GENE M BARRIE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:BARRIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-794-1411
Mailing Address - Street 1:2299 MOWRY AVENUE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1621
Mailing Address - Country:US
Mailing Address - Phone:510-794-1411
Mailing Address - Fax:510-794-1570
Practice Address - Street 1:2299 MOWRY AVENUE
Practice Address - Street 2:SUITE 3A
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1621
Practice Address - Country:US
Practice Address - Phone:510-794-1411
Practice Address - Fax:510-794-1570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty