Provider Demographics
NPI:1952318487
Name:STEIN, BARRY D (MD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:D
Last Name:STEIN
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 1:249 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4070
Mailing Address - Country:US
Mailing Address - Phone:203-883-0038
Mailing Address - Fax:203-724-4838
Practice Address - Street 1:249 DANBURY RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-4070
Practice Address - Country:US
Practice Address - Phone:203-883-0038
Practice Address - Fax:203-724-4838
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT039079207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001390799Medicaid
CT050001215Medicare ID - Type Unspecified
CT001390799Medicaid