Provider Demographics
NPI:1952307969
Name:NAGELBERG, HENRY P (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:P
Last Name:NAGELBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1260 ROUTE 28
Mailing Address - Street 2:STE 8
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3390
Mailing Address - Country:US
Mailing Address - Phone:908-253-8686
Mailing Address - Fax:908-253-0808
Practice Address - Street 1:1260 ROUTE 28
Practice Address - Street 2:STE 8
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3390
Practice Address - Country:US
Practice Address - Phone:908-253-8686
Practice Address - Fax:908-253-0808
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2010-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA62798207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6701108Medicaid
NJ6701108Medicaid
NJ594610Medicare ID - Type Unspecified