Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 25MD00234500 | NJ |
N | 222Z00000X | Podiatrist | 25MD00234500 | NJ |
N | 213EP1101X | Primary Podiatric Medicine | 25MD000234500 | NJ |
Y | 213EP1101X | Primary Podiatric Medicine | 25MD00234500 | NJ |
N | 213ES0131X | Foot Surgery | 25MD00234500 | NJ |
NPI | 1073623088 |
---|---|
Provider Name | Dr. Ronald Anthony Barbella JR. |
First Address | Mount Laurel, NJ 08054-2210 |
Second Address | Mount Laurel, NJ 08054-2210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 21/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000708751 | HIGHMARK (01) | NJ |
0290123000 | AMERIHEALTH HMO (01) | NJ |
U65138 | (02) | NJ |