Provider Demographics
NPI:1245348796
Name:BARRI, ANTHONY RAYMOND (MD)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:RAYMOND
Last Name:BARRI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:489 GOLD STAR HIGHWAY SUITE 100
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340
Mailing Address - Country:US
Mailing Address - Phone:860-445-2461
Mailing Address - Fax:860-445-8512
Practice Address - Street 1:489 GOLD STAR HIGHWAY SUITE 100
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340
Practice Address - Country:US
Practice Address - Phone:860-445-2461
Practice Address - Fax:860-445-8512
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2015-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CTA16685207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001166859Medicaid
CT001166859Medicaid
CT0143100001Medicare NSC