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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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