Individual
DR. CLYDE A. PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 S 9TH ST, NEWARK, NJ 07107-2147
(973) 497-9360
(973) 497-9100
Mailing address
15 S 9TH ST, NEWARK, NJ 07107-2147
(973) 497-9360
(973) 497-9100
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
47443
NJ
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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