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Search › New Jersey › 2084A0401X

Clyde Pemberton, M.D

NPI 1629225594 · on the registry since 2008 · sole proprietor

Practice

Address
15 S 9th St
Newark, NJ 07107
Phone
(973) 497-9360
Fax
(973) 497-9100
Organisation at this address
Living New Inc
Living New, Real Families Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2084A0401X
2084A0401X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey