Healthcare Provider Details

I. General information

NPI: 1043137755
Provider Name (Legal Business Name): BROOKE BARBER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 CENTENNIAL DR
HAMMONTON NJ
08037-2116
US

IV. Provider business mailing address

52 CENTENNIAL DR
HAMMONTON NJ
08037-2116
US

V. Phone/Fax

Practice location:
  • Phone: 401-203-3779
  • Fax: 855-710-6476
Mailing address:
  • Phone: 401-203-3779
  • Fax: 855-710-6476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number26NR14315200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: