Individual
THERESE M BARRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
833 LACEY RD, SUITE 6, FORKED RIVER, NJ 08731-1200
(609) 242-6700
(609) 242-6701
Mailing address
833 LACEY RD, SUITE 6, FORKED RIVER, NJ 08731-1200
(609) 242-6700
(609) 242-6701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB06877400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7989504
—
NJ
01
—
D07611
CDS
NJ
Enumeration date
05/04/2006
Last updated
03/07/2023
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