Provider Demographics
NPI:1083663173
Name:THROWER, ALBERT B (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:B
Last Name:THROWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 ELMER STREET
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090
Mailing Address - Country:US
Mailing Address - Phone:908-232-7797
Mailing Address - Fax:908-232-0540
Practice Address - Street 1:202 ELMER STREET
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090
Practice Address - Country:US
Practice Address - Phone:908-232-7797
Practice Address - Fax:908-232-0540
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04036800207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1784404Medicaid
NJ1784404Medicaid
NJ454333Medicare ID - Type Unspecified