Provider Demographics
NPI:1679899850
Name:BARBOSA, PHILIP VINCENT (MD)
Entity type:Individual
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First Name:PHILIP
Middle Name:VINCENT
Last Name:BARBOSA
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Gender:
Credentials:MD
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Mailing Address - Street 1:330 MT AUBURN ST
Mailing Address - Street 2:PARSONS 2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5597
Mailing Address - Country:US
Mailing Address - Phone:617-547-4400
Mailing Address - Fax:617-576-1076
Practice Address - Street 1:725 ALBANY STREET
Practice Address - Street 2:SHAPIRO 3, SUITE B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-638-8485
Practice Address - Fax:617-414-7372
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2025-03-07
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Provider Licenses
StateLicense IDTaxonomies
MA267094208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology