Poblete, Fredrick

Poblete, Fredrick is an individual health care provider with primary practice located at 1601 Whitehorse Mercerville Rd Suite 2, Trenton NJ 08619-3821. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Poblete, Fredrick can be contacted via phone (609) 586-1313.

Contact Information

Primary practice address
1601 Whitehorse Mercerville Rd Suite 2 Trenton NJ 08619-3821
Fax: (609) 584-9227
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA08013900 New Jersey

Profile Details

NPI number 1508894247
LBN Legal business name Poblete, Fredrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 15th, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508894247 NPPES
New Jersey MEDICAID 0102491

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