Healthcare Provider Details

I. General information

NPI: 1598809766
Provider Name (Legal Business Name): PATRICK G TEMPERA MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2007
Last Update Date: 12/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2333 MORRIS AVE SUITE C 101
UNION NJ
07083-5714
US

IV. Provider business mailing address

PO BOX 3455
UNION NJ
07083-1897
US

V. Phone/Fax

Practice location:
  • Phone: 908-851-2771
  • Fax: 908-851-7066
Mailing address:
  • Phone: 908-851-2771
  • Fax: 908-851-7066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMA53984
License Number StateNJ

VIII. Authorized Official

Name: DR. PATRICK G TEMPERA
Title or Position: OWNER
Credential: MD
Phone: 908-851-2771