Individual
MR. MATTHEW DONALD BARR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
52 BEACH RD, SUITE 207, FAIRFIELD, CT 06824-6017
(203) 255-2003
(203) 319-7583
Mailing address
52 BEACH RD, SUITE 207, FAIRFIELD, CT 06824-6017
(203) 255-2003
(203) 319-7583
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000905
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290000905CT01
ANTHEM BLUE CROSS
CT
01
—
2V4013
HEALTH NET
CT
Enumeration date
06/06/2006
Last updated
07/08/2007
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