MEDICARE: JUDE T BARBERA MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	173570	NY

General Provider Information

NPI Number	:	1437329653
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUDE T BARBERA MD PC

Provider Business Mailing Address
First Line	:	3632 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5303
Country	:	US
Telephone Number	:	718-222-5999
Fax Number	:

Provider Business Practice Location Address
First Line	:	3632 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-5303
Country	:	US
Telephone Number	:	718-222-5999
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUDE T BARBERA
Credential	:	MD
Telephone Number	:	718-222-5999

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	08/12/2008

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