Provider Demographics
NPI:1619279379
Name:OSTROFF, BARRY STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:STUART
Last Name:OSTROFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 WILLOW WALK
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-2737
Mailing Address - Country:US
Mailing Address - Phone:203-454-9507
Mailing Address - Fax:203-454-9507
Practice Address - Street 1:226 MILL HILL AVE
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2826
Practice Address - Country:US
Practice Address - Phone:203-384-3613
Practice Address - Fax:203-384-4234
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT028407207R00000X, 2083P0500X, 202C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner