Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 25MA08095200 | NJ |
NPI | 1144424730 |
---|---|
Provider Name | Dr. Barrington Berrisford Lynch |
First Address | Randolph, NJ 07869-2815 |
Second Address | Randolph, NJ 07869-2815 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 08/07/2007 |