Clyde A. Pemberton in Newark - Addiction Medicine
Clyde A. Pemberton - NPI 1629225594
Clyde A. Pemberton is a Addiction Medicine in Newark, New Jersey. Clyde A. Pemberton practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Clyde A. Pemberton is 1629225594. The last update date is 2008-08-22.
Clyde A. Pemberton's current location address is 15 S 9th St, Newark, New Jersey. You can contact this provider via phone number 9734979360 and fax number 9734979100. The mailing address for Clyde A. Pemberton is 15 S 9th St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde A. Pemberton |
|---|---|
| Address | 15 S 9th St, Newark, New Jersey |
| Phone Number | 9734979360 |
| Fax Number | 9734979100 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629225594 |
|---|---|
| Provider Enumeration Date | 2008-08-22 |
| Last Updated Date | 2008-08-22 |
Provider Mailing Address Detail
| Address | 15 S 9th St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71072147 |
| Phone Number | 9734979360 |
| Fax Number | 9734979100 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 47443 |
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Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Clyde A. Pemberton?
The Clyde A. Pemberton has been issued the NPI (National Provider Identifier) 1629225594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Clyde A. Pemberton is geographically located?
The Clyde A. Pemberton is physically situated at the following location: 15 S 9Th St, Newark, NJ, 71072147.
What is Clyde A. Pemberton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clyde A. Pemberton is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 2084A0401X.
On what date did the Clyde A. Pemberton receive the assignment of its 1629225594 from the Centers for Medicare & Medicaid Services?
The Clyde A. Pemberton was issued its 1629225594 by the Centers for Medicare & Medicaid Services on 2008-08-22.
When was the information related to Clyde A. Pemberton most recently updated or refreshed?
The details pertaining to the Clyde A. Pemberton, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-22.