Barry S Zuckerman, MD
Pediatrics, Developmental - Behavioral Pediatrics in Boston, MA. Individual provider (NPI-1).
NPI number1477534451
StatusActive
Last updated in NPPESJul 24, 2014
Details
- NPI
- 1477534451
- Entity type
- Individual (NPI-1)
- Name
- Barry S Zuckerman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 8, 2005
- Last updated
- Jul 24, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0006X | Pediatrics, Developmental - Behavioral Pediatrics | 36860 | MA | Yes |
| 208000000X | Pediatrics | 36860 | MA |
Practice location
850 Harrison AveYacc5
Boston, MA 02118-4001
Phone 617-414-4841 · Fax 617-414-7915
Mailing address
720 Harrison AveDob 503
Boston, MA 02118-2371
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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