Provider Demographics
NPI:1942232301
Name:CITRON, BARRY S (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:S
Last Name:CITRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:101 OLD SHORT HILLS RD STE 205
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1093
Mailing Address - Country:US
Mailing Address - Phone:973-243-2300
Mailing Address - Fax:973-243-2400
Practice Address - Street 1:101 OLD SHORT HILLS RD STE 205
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1093
Practice Address - Country:US
Practice Address - Phone:973-243-2300
Practice Address - Fax:973-243-2400
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05489200208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ017387Medicare PIN