Healthcare Provider Details

I. General information

NPI: 1114993565
Provider Name (Legal Business Name): MEREDITH BARROWS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2006
Last Update Date: 04/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 B ARTS CENTER COURT
AVON CT
06001-3752
US

IV. Provider business mailing address

21 B ARTS CENTER COURT
AVON CT
06001-3752
US

V. Phone/Fax

Practice location:
  • Phone: 860-678-9400
  • Fax: 860-678-9480
Mailing address:
  • Phone: 860-678-9400
  • Fax: 860-678-9480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number043342
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: