Provider Demographics
NPI:1184679557
Name:BARRINGTON, DORRIE-SUSAN A (MD)
Entity Type:Individual
Prefix:
First Name:DORRIE-SUSAN
Middle Name:A
Last Name:BARRINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST
Mailing Address - Street 2:STE SW200
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1155
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-342-2000
Practice Address - Fax:856-968-8418
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA08049000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
60024607OtherHORIZON NJ HEALTH
NJ0106542Medicaid
P00372369OtherRR MEDICARE
001077767OtherAMERICHOICE
2357514OtherUNITED HEALTHCARE
2761078000OtherAMERIHEALTH, KEYSTONE, IBC
P3701760OtherOXFORD
8597327OtherCIGNA
7752609OtherAETNA
8597327OtherCIGNA
7752609OtherAETNA