Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLYDE A. PEMBERTON, M.D.
Active Sole ProprietorDR. CLYDE A. PEMBERTON, M.D. is a Addiction Psychiatry healthcare provider located in NEWARK, New Jersey. NPI 1629225594 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · NEWARK, NJ
Registration Details
- NPI Number
- 1629225594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2008 (17.790045300399 yrs)
- Last Updated
- Aug 22, 2008
- License
-
47443 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15 S 9TH STNEWARK, NJ, 071072147Browse NJ providers · Browse ZIP 07107
- Phone
- 9734979360
- Fax
- 9734979100
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
Other Addiction Psychiatry Providers in NEWARK, NJ
| Name | Credential | NPI |
|---|---|---|
| DR. ROLANDO Y HONG | MD | 1720072242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.