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General NPI Number Information
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NPI Number | 1093898421
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Entity Type | Organization
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Legal Business Name | BARRY M ROSEN KRANZ MD PC
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10 NORTH MAIN STREET SUITE 309
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City | WEST HARTFORD
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State | CT
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Zip | 06107
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Country | US
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Telephone | 860-521-1920
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Fax | 860-521-2129
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Provider Business Mailing Address
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Address Line | 10 NORTH MAIN STREET SUITE 309
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City | WEST HARTFORD
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State | CT
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Zip | 06107
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Country | US
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Telephone | 860-521-1920
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Fax | 860-521-2129
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY M ROSENKRANZ
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Credential | MD
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Telephone | 860-521-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 14582
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License Number State | CT
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