Provider Demographics
NPI:1093879579
Name:EFROS, BARRY J (MD)
Entity Type:Individual
Prefix:MR
First Name:BARRY
Middle Name:J
Last Name:EFROS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 MADISON AVE
Mailing Address - Street 2:SUITE A04
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7365
Mailing Address - Country:US
Mailing Address - Phone:973-540-8744
Mailing Address - Fax:973-540-1614
Practice Address - Street 1:95 MADISON AVE
Practice Address - Street 2:SUITE A04
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7365
Practice Address - Country:US
Practice Address - Phone:973-540-8744
Practice Address - Fax:973-540-1614
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA36020207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I5092OtherOXFORD
0545972OtherAETNA
C60812Medicare UPIN
EF048925Medicare ID - Type Unspecified