Provider Demographics
NPI:1740248160
Name:CENCORA, BARBARA (MD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:CENCORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 COUNTY ROAD 520
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARLBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07746-1059
Mailing Address - Country:US
Mailing Address - Phone:732-370-2220
Mailing Address - Fax:732-370-2221
Practice Address - Street 1:475 COUNTY ROAD 520
Practice Address - Street 2:SUITE 201
Practice Address - City:MARLBORO
Practice Address - State:NJ
Practice Address - Zip Code:07746-1059
Practice Address - Country:US
Practice Address - Phone:732-370-2220
Practice Address - Fax:732-370-2221
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA 63040174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG57106Medicare UPIN
NJ901301Medicare ID - Type Unspecified