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Individual

RAYMOND K BARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8096 EDWIN RAYNOR BLVD STE A, PASADENA, MD 21122-6837
(410) 360-0014
(410) 360-0064
Mailing address
8096 EDWIN RAYNOR BLVD STE A, PASADENA, MD 21122-6837
(410) 360-0014
(410) 360-0064

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S01558
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001
BCBS OF DC
DC
01
2184080
AETNA
MD
01
353259
MAMSI
MD
01
629389
ACN
MD
01
KE24
BCBS OF MD
MD
Enumeration date
10/16/2007
Last updated
04/25/2012
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