Healthcare Provider Details

I. General information

NPI: 1447238704
Provider Name (Legal Business Name): GEORGE HENRY BARROWS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 WOODLAND ST DEPARTMENT OF PATHOLOGY
HARTFORD CT
06105-1208
US

IV. Provider business mailing address

156 COLD SPRING RD
AVON CT
06001-4053
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-4050
  • Fax: 860-714-8029
Mailing address:
  • Phone: 860-714-4050
  • Fax: 860-714-8029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number027325
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: