Individual
ROBERT BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1413 OLD TOWN RD, BRIDGEPORT, CT 06606-1442
(203) 933-4567
Mailing address
1413 OLD TOWN RD, BRIDGEPORT, CT 06606-1442
(203) 933-4567
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
000903
CT
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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