| Pemberton M.d P.c | |
|
500 Orange St Newark NJ 07107-2944 | |
| (973) 844-3188 | |
| Not Available |
| Full Name | Pemberton M.d P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Orange St, Newark, New Jersey |
| Authorized Official Name and Position | Colin A Pemberton (/OWNER) |
| Authorized Official Contact | 9738443188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemberton M.d P.c 500 Orange St Newark NJ 07107-2944 Ph: (973) 844-3188 | Pemberton M.d P.c 500 Orange St Newark NJ 07107-2944 Ph: (973) 844-3188 |
| NPI Number | 1437686219 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437686219 | NPI | - | NPPES |
| 0198323 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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