Provider Demographics
NPI:1659975837
Name:BARRO, STEFANIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:STEFANIE
Middle Name:
Last Name:BARRO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:HASKELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07420-1525
Mailing Address - Country:US
Mailing Address - Phone:973-616-1700
Mailing Address - Fax:
Practice Address - Street 1:4 UNION AVE
Practice Address - Street 2:
Practice Address - City:HASKELL
Practice Address - State:NJ
Practice Address - Zip Code:07420-1525
Practice Address - Country:US
Practice Address - Phone:973-616-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-28
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03218100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist