Pemberton, Clyde A.
Pemberton, Clyde A. is an sole proprietor health care provider with primary practice located at 15 S 9Th St , Newark NJ 07107-2147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as his primary health care specialty. Pemberton, Clyde A. can be contacted via phone (973) 497-9360.Contact Information
Primary practice address
15 S 9Th St
Newark NJ 07107-2147
Phone: (973) 497-9360
Fax: (973) 497-9100
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | 47443 | New Jersey |
Profile Details
NPI number | 1629225594 |
---|---|
LBN Legal business name | Pemberton, Clyde A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 22nd, 2008 |
Last updated | Aug 22nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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