Provider Demographics
NPI:1982612032
Name:PADBERG, FRANK THOMAS JR (M D)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:THOMAS
Last Name:PADBERG
Suffix:JR
Gender:M
Credentials:M D
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Mailing Address - Street 1:189 SPRINGRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-2024
Mailing Address - Country:US
Mailing Address - Phone:908-464-2282
Mailing Address - Fax:973-972-9375
Practice Address - Street 1:90 BERGEN ST
Practice Address - Street 2:SUITE 7200, DOCTORS OFFICE CENTER
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2425
Practice Address - Country:US
Practice Address - Phone:973-972-9371
Practice Address - Fax:973-972-9375
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2022-01-25
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Provider Licenses
StateLicense IDTaxonomies
NJMA392562086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB97535Medicare UPIN