Provider Demographics
NPI:1144358573
Name:BARRY, DAVID M (CFO)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:BARRY
Suffix:
Gender:M
Credentials:CFO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-4969
Mailing Address - Country:US
Mailing Address - Phone:908-910-8385
Mailing Address - Fax:609-971-2823
Practice Address - Street 1:703 MEADOW LN
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-4969
Practice Address - Country:US
Practice Address - Phone:908-910-8385
Practice Address - Fax:609-971-2823
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment