Provider Demographics
NPI:1437128022
Name:BARNES, RONNIE PHILLIP (ATC)
Entity Type:Individual
Prefix:MR
First Name:RONNIE
Middle Name:PHILLIP
Last Name:BARNES
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 GLEN ROCK RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1635
Mailing Address - Country:US
Mailing Address - Phone:201-939-5682
Mailing Address - Fax:
Practice Address - Street 1:50 STATE ROUTE 120
Practice Address - Street 2:NEW YORK FOOTBALL GIANTS
Practice Address - City:EAST RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073
Practice Address - Country:US
Practice Address - Phone:201-939-5682
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist