Individual
DR. FREDRICK POBLETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 WHITEHORSE MERCERVILLE RD, SUITE 2, TRENTON, NJ 08619-3821
(609) 586-1313
(609) 584-9227
Mailing address
1601 WHITEHORSE MERCERVILLE RD, SUITE 2, TRENTON, NJ 08619-3821
(609) 586-1313
(609) 584-9227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08013900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102491
—
NJ
Enumeration date
06/29/2006
Last updated
04/15/2014
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