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Organization

MARY E BARRY, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARY E BARRY M.D. (PHYSICIAN)
(860) 423-6733
Entity
Organization

Contact information

Practice address
14 QUARRY ST, WILLIMANTIC, CT 06226-1232
(860) 423-6733
Mailing address
14 QUARRY ST, WILLIMANTIC, CT 06226-1232
(860) 423-6733

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025765
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1257658
CT
Enumeration date
11/30/2011
Last updated
11/30/2011
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