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Individual

KEVIN BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Contact information

Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(800) 991-9133
Mailing address
PO BOX 18086, NEWARK, NJ 07191-8086
(201) 943-5991
(201) 943-8733

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA56123
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1108603
NJ
Enumeration date
11/15/2005
Last updated
07/09/2007
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