Provider Demographics
NPI:1639149073
Name:MESSINGER, BARRY N (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:N
Last Name:MESSINGER
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 1:9 BRUCE RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-7008
Mailing Address - Country:US
Mailing Address - Phone:860-670-3525
Mailing Address - Fax:
Practice Address - Street 1:9 BRUCE RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-7008
Practice Address - Country:US
Practice Address - Phone:860-670-3525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT024694207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001246941Medicaid
CTB38769Medicare UPIN
CT001246941Medicaid