Healthcare Provider Details

I. General information

NPI: 1154234904
Provider Name (Legal Business Name): JAMES EDWARD BARONE JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

666 GLENBROOK RD
STAMFORD CT
06906-1439
US

IV. Provider business mailing address

71 LAWTON AVE
STAMFORD CT
06907-1921
US

V. Phone/Fax

Practice location:
  • Phone: 203-329-3759
  • Fax:
Mailing address:
  • Phone: 917-653-4760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number10230
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: