Individual
DR. PATRICK MICHAEL MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-5000
Mailing address
185 S ORANGE AVE, NEWARK, NJ 07103-2757
(973) 972-5000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA10942600
NJ
207V00000X
Obstetrics & Gynecology Physician
313023-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10942600
MEDICAL LICENSE
NJ
01
—
313023-01
LICENSE
NY
01
—
D11860800
CDS
NJ
01
—
XM0253461
BUPRENORPHINE WAIVER
NJ
Enumeration date
06/09/2014
Last updated
03/07/2023
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