Healthcare Provider Details

I. General information

NPI: 1710024641
Provider Name (Legal Business Name): WILLIAM BARTON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 03/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

419 N HARRISON ST
PRINCETON NJ
08540-3521
US

IV. Provider business mailing address

419 N HARRISON ST
PRINCETON NJ
08540-3521
US

V. Phone/Fax

Practice location:
  • Phone: 609-924-9300
  • Fax: 609-924-3477
Mailing address:
  • Phone: 609-924-9300
  • Fax: 609-924-3477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number25MA06209100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA06209100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: