Provider Demographics
NPI:1275880874
Name:LAWRENCE F BARNET MD PA
Entity Type:Organization
Organization Name:LAWRENCE F BARNET MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:F
Authorized Official - Last Name:BARNET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-956-8818
Mailing Address - Street 1:37 POMPTON RD
Mailing Address - Street 2:
Mailing Address - City:HALEDON
Mailing Address - State:NJ
Mailing Address - Zip Code:07508-1613
Mailing Address - Country:US
Mailing Address - Phone:973-956-8818
Mailing Address - Fax:973-956-1821
Practice Address - Street 1:37 POMPTON RD
Practice Address - Street 2:
Practice Address - City:HALEDON
Practice Address - State:NJ
Practice Address - Zip Code:07508-1613
Practice Address - Country:US
Practice Address - Phone:973-956-8818
Practice Address - Fax:973-956-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA21423207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ520853OtherMEDICARE TIN