Individual
BARBARA ANNE ETHERIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27 CLYDE RD STE 102, SOMERSET, NJ 08873-5039
(732) 246-0057
(732) 745-7070
Mailing address
27 CLYDE RD STE 102, SOMERSET, NJ 08873-5039
(732) 246-0057
(732) 745-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06795700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7743408
—
NJ
Enumeration date
12/01/2006
Last updated
01/25/2021
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