Healthcare Provider Details

I. General information

NPI: 1164478004
Provider Name (Legal Business Name): FRANK T BARBERA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 10/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 RIDGE RD
NORTH ARLINGTON NJ
07031-6318
US

IV. Provider business mailing address

68 RIDGE RD
NORTH ARLINGTON NJ
07031-6318
US

V. Phone/Fax

Practice location:
  • Phone: 201-998-7333
  • Fax: 201-998-5715
Mailing address:
  • Phone: 201-998-7333
  • Fax: 201-998-5715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA045489
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberMA045489
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: