Individual
BECHARA BARRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 COTTAGE GROVE RD STE D110, BLOOMFIELD, CT 06002-3085
(860) 530-2014
Mailing address
1000 ASYLUM AVE, SUITE 3218, HARTFORD, CT 06105-1770
(860) 714-5415
(860) 714-8861
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032571
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001325712
—
CT
01
—
010032571CT01
ANTHEM BLUE SHIELD
CT
Enumeration date
07/22/2006
Last updated
03/05/2025
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