Organization
ETHERIDGE FAMILY MEDICINE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA ANNE ETHERIDGE M.D. (PHYSICIAN)
(732) 246-0057
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2025674
AETNA
—
01
—
2311539001
AMERIHEALTH
—
01
—
2K7104
ACS HEALTHNET
—
01
—
4197625010
CIGNA
—
01
—
8669281
UNITED HEALTHCARE
—
01
—
P1087747
OXFORD
—
Enumeration date
12/01/2006
Last updated
01/25/2021
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